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Posterior Reversible Encephalopathy Syndrome and Venous Thrombosis

Posterior Reversible Encephalopathy Syndrome and Venous Thrombosis

ID：40088403

大小：2.69 MB

页数：18页

时间：2019-07-20

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1、PosteriorReversibleEncephalopathySyndromeandVenousThrombosisBojanD.Petrovic,MDa,*,AlexanderJ.Nemeth,MDb,ErinN.McComb,MDb,MatthewT.Walker,MDbKEYWORDSPosteriorReversibleEncephalopathySyndromeVenousThrombosisPosteriorreversibleencephalopathysyndromeoccurprimarilyinthefrontallobes.Inadd

2、ition,(PRES)andvenousthrombosisarefrequentlyPRESisnotalwaysreversibleifthecauseisnotencounteredfirstintheemergencysettingandtreated.Again,thesefactorsareofprimeimpor-sharesomecommoncharacteristics.Theclinicaltancewhenconsideringanunusualpatternofpresentationofbothisvague,andthebrainparen-

3、brainedemanototherwiseexplained.Also,thechymalfindingsofPRESmayresemblethoseofpatientmaynotalwayspresentwithanencepha-venousthrombosisinsomeways.Bothentitieslopathy,whichisusuallyunderstoodasalteredoftenoccurinabilateralposteriordistributionmentalstatus;instead,thepatientmayhaveandmaybeas

4、sociatedwithreversibleparen-variousclinicalpresentationsasdescribedlater.chymalfindingsiftheincitingfactoristreated.Also,thepatientmaynotpresentwithasyndrome.Thesediagnosesshouldbeattheforefrontofdifferentialdiagnosiswhenconfrontedwithother-ClinicalPresentationandDemographicswiseunexplain

5、edbrainedema,amongotherfind-PatientswithPRESoftendevelopheadaches,ingsdescribedinthisarticle.visualdisturbances(eg,blurryvision,hemianop-sia,visualneglect,corticalblindness),seizures,and/oralteredmentalstatus.3e5Occasionally,PRESthesepatientsmaydevelopfocalneurologicdefi-PRESisaclinicorad

6、iologicentitywithcharacter-citssuchasparesisorhemianopsia.1,5Becauseisticsymptomsandimagingfeatures.1,2Itisclas-thesymptomsarenonspecific,PREScanbesicallyassociatedwithadistinctpatternofadiagnosticdilemmafromaclinicalstandpointedemathatisprimarilyposterior,includingtheunlessonemaintainsah

7、ighclinicalsuspicioninparietalandoccipitallobes(Fig.1).1PRESoccurspatientswithriskfactorsforthedisease.Symp-inthesettingofneurotoxicity,andtheaccompa-tomsassociatedwithPRESmaydevelopacutelynyingbrainedemaisreversibleiftheunderlyingoroverseveraldays.1causeisaddressed

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