■可逆性后部脑病综合征(PRES)是一种以头痛等症状为特征的医学疾病,改变了意识,视觉异常,癫痫发作,和相关的放射性血管源性水肿。条件,正如它的名字所暗示的,一般是可逆的。PRES通常影响45岁左右的人群,在老年人群中很少见。
■在本报告中,作者介绍了一例83岁女性患者的病例,她因癫痫发作和视力障碍的病史到急诊科就诊.经检查,她的格拉斯哥昏迷评分(GCS)为14,并且进行了双边回合,reactive,正常的瞳孔。进行了普通计算机断层扫描(CT)头,显示枕区多个出血区与血管源性水肿相关。磁共振成像提示PRES.该个体在作者研究所接受了保守的管理,并逐渐康复。
■PRES通常出现在中年人身上,在老年人群中很少发生。早期放射学和临床评估对于及时诊断这种疾病至关重要。此外,确定诱发因素,如高血压,子痫,电解质失衡,肾功能衰竭,自身免疫性疾病,以及使用细胞毒性药物对患者进行最佳管理。
■PRES通常是可逆的,正如它的名字所暗示的。根据放射学和临床相关性保持高度怀疑,加上对基本条件的有效管理,可能有助于其潜在的可逆性。
UNASSIGNED: Posterior reversible encephalopathy syndrome (PRES) is a medical condition characterized by symptoms such as headache, altered consciousness, visual abnormalities, seizures, and associated radiological vasogenic edema. The condition, as its name suggests, is generally reversible. PRES typically affects individuals around the age of 45 and is rarely seen in the elderly population.
UNASSIGNED: In this report, the authors present the case of an 83-year-old woman who presented to the emergency department with a history of seizures and visual disturbances. Upon examination, her Glasgow Coma Scale (GCS) was 14, and she had bilateral round,reactive, regular pupils. A plain computed tomography (CT) head was performed, which revealed multiple hemorrhagic areas in the occipital region associated with vasogenic edema. magnetic resonance imaging was done which was suggestive of PRES. The individual underwent conservative management in the authors\' institute and gradually recovered.
UNASSIGNED: PRES typically presents in middle-aged individuals, with infrequent occurrences in the elderly population. Early radiological and clinical assessments are crucial for the prompt diagnosis of this condition. Additionally, it is essential to identify predisposing factors such as hypertension, eclampsia, electrolyte imbalances, renal failure, autoimmune diseases, and the use of cytotoxic drugs for optimum management of the patient.
UNASSIGNED: PRES is generally reversible, as its name implies. Maintaining a high level of suspicion based on radiological and clinical correlations, coupled with the effective management of underlying conditions, can contribute to its potential reversibility.