摘要
目的探讨重度子痫前期与子痫并发可逆性后部白质脑病综合征(RPLS)的临床特征。方法回顾性分析32例重度子痫前期与子痫并发RPLS患者的临床资料。结果 32例患者均表现为迅速进展的血压升高、头痛;意识障碍、精神障碍及行为异常25例;痫性发作23例;视觉障碍19例;影像学显示大脑后部枕叶及顶叶为主的白质水肿;经及时治疗患者的临床症状及影像学改变迅速恢复。结论重度子痫前期与子痫并发RPLS患者具有特征性的临床及影像学改变,早期诊断及治疗,预后良好。
Objective To study the clinical characteristics of severe preeclampsia and eclampsia patients complicated with reversible posterior leukoencephalopathy syndrome（RPLS） .Methods Clinical data of 32 cases with severe preeclampsia and ec‐lampsia complicated with reversible posterior leukoencephalopathy syndrome were retrospectively analyzed .Results All the pa‐tients presented hypertension and headache with rapid progress ;25 cases with conscious disturbance ,mental disorder and ab‐normal behavior ;23 cases with epileptic seizures ;19 cases with visual impairment .Neuroimaging showed edema of white mat‐ter predominantly mainly in occipital lobe and parietal lobe .Clinical symptoms and radiological changes recovered quickly after timely therapy .Conclusion Severe preeclampsia and eclampsia patients complicated with RPLS have typical clinical and imaging changes ,and the prognosis is good with early diagnosis and treatment .
出处
《中国实用神经疾病杂志》
2015年第9期26-27,共2页
Chinese Journal of Practical Nervous Diseases
关键词
子痫
可逆性后部白质脑病综合征
脑水肿
磁共振成像
Eclampsia
Reversibl eposterior leukoencephalopathy syndrome
Brain edema
Magnetic resonance imaging
