後部白質脳症症候群
- 関
- reversible posterior leukoencephalopathy syndrome
WordNet
- located at or near or behind a part or near the end of a structure
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
PrepTutorEJDIC
- 《名詞の前にのみ用いて》(生物学的に,位置が)後ろの,後部の / (時間・順序が)後の;(…より)後の《+『to』+『名』》(later) / しり(buttocks)
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/02/03 09:40:11」(JST)
[Wiki en表示]
Posterior reversible encephalopathy syndrome |
Classification and external resources |
Posterior reversible encephalopathy syndrome visible on magnetic resonance imaging as multiple cortico-subcortical areas of T2-weighted hyperintense (white) signal involving the occipital and parietal lobes bilaterally and pons. |
ICD-10 |
G93.49 |
ICD-9 |
348.39 |
DiseasesDB |
10460 |
MeSH |
D054038 |
Posterior reversible encephalopathy syndrome (PRES), also known as reversible posterior leukoencephalopathy syndrome (RPLS), is a syndrome characterized by headache, confusion, seizures and visual loss. It may occur due to a number of causes, predominantly malignant hypertension, eclampsia and some medical treatments. On magnetic resonance imaging (MRI) of the brain, areas of edema (swelling) are seen. The symptoms tend to resolve after a period of time, although visual changes sometimes remain.[1][2] It was first described in 1996.[3]
Contents
- 1 Causes
- 2 Diagnosis
- 3 Treatment
- 4 See also
- 5 References
|
Causes
PRES occurs due to the use of drugs like tacrolimus and cyclosporine, hence it may occur in people who have undergone an organ transplant, in which these drugs may be used to suppress transplant rejection. It also occurs due to eclampsia, severe high blood pressure, dramatic changes in blood pressure, and hypercalcemia. Low magnesium levels can augment PRES.[citation needed]
Diagnosis
The diagnosis is typically made on magnetic resonance imaging of the brain; this may show hyperintensities on T2-weighed imaging. Three different patterns have been described on MRI imaging.[4] Cerebral angiography may provide a more definite diagnosis.[citation needed]
Treatment
The treatment of PRES depends on the underlying cause. For instance, if the main problem is high blood pressure, blood pressure control will accelerate the resolution of the abnormalities. If the likely cause is medication, the withdrawal of the drug in question is needed.[5]
See also
References
- ^ Garg RK (January 2001). "Posterior leukoencephalopathy syndrome". Postgrad Med J 77 (903): 24–8. doi:10.1136/pmj.77.903.24. PMC 1741870. PMID 11123390. http://pmj.bmj.com/cgi/content/full/77/903/24.
- ^ Pula JH, Eggenberger E (November 2008). "Posterior reversible encephalopathy syndrome". Curr Opin Ophthalmol 19 (6): 479–84. doi:10.1097/ICU.0b013e3283129746. PMID 18854692.
- ^ Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, Pessin M, Lamy C, Mas J, Caplan L (1996). "A reversible posterior leukoencephalopathy syndrome.". N Engl J Med 334 (8): 494–500. doi:10.1056/NEJM199602223340803. PMID 8559202.
- ^ Peter P, George A. Posterior reversible encephalopathy syndrome and the pediatric population. J Pediatr Neurosci 2012;7:136-8.
- ^ Pedraza R, Marik PE, Varon J (November 2009). Posterior Reversible Encephalopathy Syndrome: A Review. Crit Care & Shock 12:135-143. http://www.criticalcareshock.org/files/Review%20-%20Posterior%20Reversible%20Encephalopathy%20Syndrome-%20A%20Review.pdf
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Reversible posterior leukoencephalopathy syndrome of bilateral thalamus in acute lymphoblastic leukemia.
- Kamezaki M, Kakimoto T, Takeuchi T, Akuta K, Kasahara H, Yamamoto K, Ujiie H, Sugahara H, Nishinaka K, Udaka F, Sakoda H.SourceDepartment of Hematology.
- Leukemia & lymphoma.Leuk Lymphoma.2012 Oct;53(10):2083-4. Epub 2012 May 9.
- PMID 22397315
- Reversible posterior leukoencephalopathy syndrome associated with concurrent bevacizumab, gemcitabine, and oxaliplatin for cholangiocarcinoma.
- Chang Y, Mbeo G, Littman SJ.SourceDepartment of Medicine, Internal Medicine Residency Program, AtlantiCare Regional Medical Center, 1925 Pacific Avenue, Atlantic City, NJ, 08401, USA, yongenc@yahoo.com.
- Journal of gastrointestinal cancer.J Gastrointest Cancer.2012 Sep;43(3):505-7.
- INTRODUCTION: Reversible posterior leukoencephalopathy syndrome (RPLS) is a rare disorder characterized by altered mental status, seizure, hypertension, and symmetrical white matter edema (leukoencephalopathy) typically in the posterior cerebral hemispheres on brain imaging. It is often linked to ce
- PMID 21556724
Japanese Journal
- Reversible Cerebral Vasoconstriction Syndrome Presenting as Subarachnoid Hemorrhage, Reversible Posterior Leukoencephalopathy, and Cerebral Infarction
- Noda Kazuyuki,Fukae Jiro,Fujishima Kenji,Mori Kentaro,Urabe Takao,Hattori Nobutaka,Okuma Yasuyuki
- Internal Medicine 50(11), 1227-1233, 2011
- … Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by acute severe headache with or without additional neurological symptoms and reversible cerebral vasoconstriction. … We report a severe case of a 53-year-old woman with RCVS having an unruptured cerebral aneurysm and presenting as cortical subarachnoid hemorrhage, reversible posterior leukoencephalopathy syndrome, and cerebral infarction. …
- NAID 130000770477
- Apparent diffusion coefficient map based on diffusion-weighted magnetic resonance imaging is useful in diagnosing the brainstem variant of reversible posterior leukoencephalopathy syndrome with uremia
- KATANO Kenichi,KAKUCHI Yasushi,NAKASHIMA Akikatsu,NAKAHAMA Katsuyuki,KAWANO Mitsuhiro
- Clinical and experimental nephrology 14(5), 479-482, 2010-10-01
- NAID 10027707317
Related Links
- 1. Postgrad Med J. 2001 Jan;77(903):24-8. Posterior leukoencephalopathy syndrome. Garg RK. Department of Neurology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India. Comment in Postgrad Med J. 2001 ...
- Posterior leukoencephalopathy syndrome is a newly recognised brain disorder that predominantly affects the cerebral white matter. Oedematous lesions particularly involve the posterior parietal and occipital lobes, and may spread to ...
★リンクテーブル★
[★]
- 英
- posterior leukoencephalopathy syndrome
- 関
- 可逆性後白質脳症症候群
[★]
可逆性後白質脳症症候群
- 関
- posterior leukoencephalopathy syndrome
[★]
- 関
- after、afterward、afterwards、backward、behind、following、late、post、posteriorly、subsequent
[★]