PDF(Pubmed)
Abstract：
We evaluated a 48-year-old woman who had visual hallucinations (VHs) as a major presenting sign of posterior reversible encephalopathy syndrome (PRES). Despite her mild loss of vision, she described various hallucinations after awakening from a comatose state days after a motorcycle collision. VHs are usually accompanied by more severe loss of vision, yet our case and literature review indicate that sudden onset of formed VHs should suggest a possible diagnosis of PRES in patients who have large fluctuations in blood pressure, renal failure, or autoimmune dysfunction, as well as in patients taking cytotoxic agents.
摘要：
我们评估了一名48岁的女性，她的视力幻觉（VHs）是后部可逆性脑病综合征（PRES）的主要表现。尽管她有轻微的视力丧失,她描述了摩托车碰撞后几天从昏迷状态中醒来后的各种幻觉。VHs通常伴有更严重的视力丧失，然而，我们的病例和文献综述表明，在血压波动较大的患者中，突然发生的VHs应该提示PRES的可能诊断。肾功能衰竭,或自身免疫功能障碍，以及服用细胞毒性药物的患者。
