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논문KCI 등재

두부 외상 후에 발생한 중심형 가역후뇌병증

Central-variant Posterior Reversible Encephalopathy Syndrome after Head Trauma

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초록

Posterior reversible encephalopathy syndrome (PRES) is a disorder of reversible vasogenic edema which mainly involves the parieto-occipital lobes in various clinical settings. Isolated involvement of the brainstem, basal ganglia, and cerebellum is rare. An 81-year-old female was admitted because of a decreased level of consciousness, and she had a head trauma history a day before. Brain magnetic resonance imaging (MRI) showed extensive confluent T2 hyperintensity with swelling involving the bilateral thalami, brainstem, and cerebellar peduncle without cortical lesions. We reports a case of central-variant PRES after traumatic brain injury.

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a disorder of reversible vasogenic edema which mainly involves the parieto-occipital lobes in various clinical settings. Isolated involvement of the brainstem, basal ganglia, and cerebellum is rare. An 81-year-old female was admitted because of a decreased level of consciousness, and she had a head trauma history a day before. Brain magnetic resonance imaging (MRI) showed extensive confluent T2 hyperintensity with swelling involving the bilateral thalami, brainstem, and cerebellar peduncle without cortical lesions. We reports a case of central-variant PRES after traumatic brain injury.

참고문헌 (10)

  1. Lee SJ, "Posterior reversible encephalopathy syndrome", J Korean Neurol Assoc, 34, pp.277~289 (2016)
  2. McKinney AM, "Central-variant posterior reversible encephalopathy syndrome : brainstem or basal ganglia involvement lacking cortical or subcortical cerebral edema", AJR Am J Roentgenol, 201, pp.631~638 (2013)
  3. Yoon JE, "Posterior reversible encephalopathy syndrome after head trauma surgery in pediatric patient without any underlying disease", Korean J Neurotrauma, 13, pp.167~170 (2017)
  4. Yonekura S, "Posterior reversible encephalopathy syndrome and Guillain-Barré syndrome after head injury : case report", Neurol Med Chir(Tokyo), 58, pp.453~458 (2018)
  5. Ranjan CAA, "Posterior reversible encephalopathy syndrome : an uncommon complication of pediatric head injury", J Med Sci, 5, pp.99~102 (2019)
  6. Braganza J, "Posterior reversible encephalopathy syndrome in the setting of trauma : a case report", Int J Surg Case Rep, 72, pp.528~532 (2020)
  7. Chen H, "Posterior reversible encephalopathy syndrome and reversible cerebral vasoconstriction syndrome associated spinal subdural hematoma : a case report", Medicine(Baltimore), 99, pp.e21522~ (2020)
  8. Sen B, "A rare presentation of unilateral posterior reversible encephalopathy syndrome following a trivial head trauma", Neurol Clin Neurosci, 12, pp.198~200 (2024)
  9. Krishnamoorthy V, "Hypertension after severe traumatic brain injury : friend or foe?", J Neurosurg Anesthesiol, 29, pp.382~387 (2017)
  10. Karakis I, "Clinical and radiological features of brainstem variant of hypertensive encephalopathy", J Vasc Interv Neurol, 2, pp.172~176 (2009)

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