后可逆性脑病综合征并发动脉瘤介入栓塞1例。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Yi-Xuan Wang, Yang Liu, Jian-Feng Xu, Biao Jin
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引用次数: 0

摘要

导言:介入栓塞动脉瘤后可逆性脑病综合征(PRES)的并发症很少报道,通过及时和积极的治疗可以减少或解决PRES疾病,导致最小或无残余神经功能障碍。病例介绍:51岁女性左大脑前动脉叶周段动脉瘤患者在动脉瘤栓塞后出现长时间的癫痫持续状态,原因是PRES,经过一个月的治疗,包括血压控制和脑血管痉挛的预防,影像学检查证实PRES的症状改善和病变消退。出院后随访7个月,各项检查指标正常,无神经功能缺损。结论:该病例强调了及时识别和诊断PRES的重要性,因为及时干预可以预防永久性神经功能缺损,减轻更严重后果的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Posterior Reversible Encephalopathy Syndrome Complicated by Aneurysm Interventional Embolization: A Case Report.

Introduction: Complications of Post-Reversible Encephalopathy Syndrome (PRES) following interventional embolization of aneurysms are rarely reported, and PRES disease can be reduced or resolved through prompt and aggressive treatment, resulting in minimal or no residual neurological deficits.

Case presentation: A 51-year-old female patient with an aneurysm in the pericallosal segment of the left anterior cerebral artery experienced prolonged status epilepticus following aneurysm embolization, attributed to PRES. The diagnosis of PRES was confirmed by symptom improvement and resolution of lesions on imaging studies after one month of treatment involving blood pressure management and prevention of cerebral vasospasm. At the 7- month post-discharge follow-up, the patient's examination indexes were normal without any residual neurological deficits.

Conclusion: This case underscores the importance of promptly identifying and diagnosing PRES, as timely intervention can prevent permanent neurological deficits and mitigate the risk of more severe outcomes.

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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