{"title":"后可逆性脑病综合征并发动脉瘤介入栓塞1例。","authors":"Yi-Xuan Wang, Yang Liu, Jian-Feng Xu, Biao Jin","doi":"10.2174/0115734056384561250418065851","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":54215,"journal":{"name":"Current Medical Imaging Reviews","volume":" ","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Posterior Reversible Encephalopathy Syndrome Complicated by Aneurysm Interventional Embolization: A Case Report.\",\"authors\":\"Yi-Xuan Wang, Yang Liu, Jian-Feng Xu, Biao Jin\",\"doi\":\"10.2174/0115734056384561250418065851\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":54215,\"journal\":{\"name\":\"Current Medical Imaging Reviews\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-04-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Current Medical Imaging Reviews\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2174/0115734056384561250418065851\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Medical Imaging Reviews","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2174/0115734056384561250418065851","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
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.
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.