PRES(后部可逆性脑病综合征)和子痫:综述

S. Mishra, R. Bhat, K. Sudeep, M. Nagappa, A. Swain, A. Badhe
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引用次数: 8

摘要

后可逆性脑病综合征(PRES)是一种临床神经放射学疾病。子痫是引起PRES的重要原因之一,多数患者有重度高血压,部分患者血压仅轻度升高,甚至正常。症状包括头痛、恶心、呕吐、精神状态改变、癫痫发作、麻木和视觉障碍。在CT和MR检查中,水肿表现为相对对称的模式,通常在皮层下白质,偶尔在枕叶和顶叶皮层。如果及早治疗,PRES是可逆的,延迟诊断和治疗可导致慢性神经系统后遗症。早期识别和控制血压和癫痫发作是治疗的主要内容。麻醉医师、重症监护医师和其他参与评估血压明显升高、子痫、肾功能衰竭等患者的医生应推定为PRES,并且必须了解相关疾病的临床谱、诊断方式和治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PRES (Posterior Reversible Encephalopathy Syndrome) and Eclampsia:-Review
The Posterior Reversible encephalopathy Syndrome (PRES) is a cliniconeuroradiologic entity. Eclampsia is one of the important causes of PRES. Most patients have severe hypertension, some have only mildly elevated or even normal blood pressure. Symptoms include headache, nausea, vomiting, altered mental status, seizures, stupor, and visual disturbances. On CT and MR studies, edema is relatively symmetrical pattern, typically in the sub cortical white matter and occasionally in the cortex of the occipital and parietal lobes. PRES is reversible when treatment is instituted early, delayed diagnosis and treatment can result in chronic neurological sequelae. Early recognition and controlled of blood pressure and seizure is the main stay of treatment. Anesthesiologist, intensivists and other physicians involved in the evaluation of patients with markedly elevated blood pressure, eclampsia, renal failure etc should presumed PRES and must be aware of the clinical spectrum of the associated conditions, its diagnostic modalities, and treatment.
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