Posterior reversible encephalopathy syndrome maternal 5 cases.doc

 PAGE \* MERGEFORMAT 13 Posterior reversible encephalopathy syndrome maternal 5 cases OF: He Zhiyong, Chen Songfang, Wei Rui Li, Chen Weidong [Abstract] Objective: To explore the posterior reversible encephalopathy syndrome in the clinical and imaging features. Methods: 5 cases of pregnant women in patients with clinical data. Results: 5 patients were in acute blood pressure before and after childbirth, symptoms of headache and visual disturbance. CT examination showed bilateral low density lesions in the top of the occipital lobe, MRI for the long T1, long T2 signal. short-term review showed headache disappeared, visual acuity, image review of intracranial lesions completely disappeared. Conclusions: The posterior reversible encephalopathy syndrome with characteristic clinical and imaging features, prompt treatment can be fully restored. [Keywords:] posterior reversible encephalopathy; clinical; visual impairment; headache 1996, Hinchey first proposed reversible posterior leukoencephalopathy syndrome (reversible posterior leukoencephalopa-thy syndrome, RPLS) concept, which is caused by a variety of reasons common characteristic clinical and imaging findings of a syndrome [1]. As in recent years, growing recognition of the syndrome, found that in addition white matter, gray matter is also involved, and can affect a small number of patients with frontal lobe lesions or basal ganglia, so named for the syndrome, there are a lot of debate [2-3]. current scholars posterior reversible encephalopathy syndrome tend to use (Posterior reversible encephalopathy syndrome, PRES) the term [4-6]. The syndrome more common in women and children, in pregnant women with acute visual impairment in the performance of the outstanding is rare in the clinic, are reported in 5 cases. 1 Clinical data 1.1 General situation of the group of 5 patients, aged 21 to 27 years of age; pregnant women in 3 cases, 37 ~ 39 weeks of pregnancy, maternal, 2 cases were primipara. 1