You are here

Home » Content

Kronik Böbrek Yetmezliğine Bağlı Gelişen Posterior Lökoensefalopati: Manyetik Rezonans Görüntüleme Bulguları

Posterior Leukoencephalopathy Secondary to Chronic Renal Failure: Magnetic Resonance Imaging Findings

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Posterior reversible encephalopathy syndrome is a radiological and clinical syndrome which is rarely seen in children. Hypertensive encephalopathy, renal failure, treatment with immunsuppressive agents, retansion of fluid, eclampsia, and transfusion are among the main etiological causes. In this report, we present the initial diagnostic and follow-up MR imaging findings of a 7 years old girl, who had been followed with chronic renal failure for 4 years, admitted to our pediatric department with symptoms of seizure and hypertensive episode, and diagnosed as having posterior reversible encephalopathy. On follow-up MR imaging, hemorrhage, a possible complication of this syndrome, was developed. Posterior reversible encephalopathy should be considered in the differential diagnosis of hypertensive children with seizures, and cranial MR and diffusion weighted MR imaging should be routinely performed in these patients.
Bookmark/Search this post with
Abstract (Original Language): 
Posterior reversibl ensefalopati sendromu çocuklarda nadir olarak görülen klinik ve radyolojik bir sendrom olup hipertansif ensefalopati, böbrek yetmezliği, immunsupresif ilaçlarla tedavi, sıvı retansiyonu, eklampsi, ve transfüzyon başlıca etiyolojik nedenler arasındadır. Bu raporda, dört yıldır kronik böbrek yetmezliği nedeniyle takip edilen, nöbet geçirme ve hipertansif atak ile çocuk polikliniğine başvuran ve yapılan MRG incelemesinde posterior reversible ensefalopati tanısı konulan yedi yaşındaki bir kız hastanın tanı ve takip MRG inceleme bulguları sunulmaktadır. Hastanın takip MRG incelemesinde posterior reversibl ensefalopati sendromunun olası komplikasyonlarından olan kanama gelişmiştir. Nöbet ile gelen hipertansif çocuklarda ayırıcı tanıda posterior reversibl lökoensefalopati sendromu düşünülerek beyin MRG ve difüzyon MRG incelemesi rutin olarak yapılmalıdır.
FULL TEXT (PDF): 
PDF icon arastirmax-kronik-bobrek-yetmezligine-bagli-gelisen-posterior-lokoensefalopati-manyetik-rezonans-goruntuleme-bulgulari.pdf
  • 1
49-53
  • Turkish

REFERENCES

References: 

1. Alkan A, Kutlu R, Baysal T, et al. Reversible posterior
leukoencephalopathy in a child with acute glomerulonephritis:
follow-up MR imaging. Marmara Medical Journal, 2003; 16(3):
214-218.
2. Incecik F, Herguner MO, Altunbasak S, et al. Evaluation of nine
children with reversible posterior encephalopathy syndrome.
Neurology India 2009; 57(4): 475-478.
3. Tekşam M, Casey SO, Michel E, et al. Posterior reversibl
ensefalopati sendromu: patofizyoloji ve ileri MRG teknikleri ile
korelasyon. Tanısal ve Girişimsel Radyoloji, 2001; 7: 464-472.
4. Mueller-Mang C, Mang T, Pirker A, et al. Posterior reversible
encephalopathy syndrome: do predisposing risk factors make a
difference in MRI appearance?. Neuroradiology 2009; 51: 373-
383.
5. Bhatt A, Farooq MU, Majid A, et al. Chemotherapy-related
posterior reversible leukoencephalopathy syndrome. Nature
Clinical Practice 2009; 5: 3.
Kronik Böbrek Yetmezliğine Bağlı Gelişen Posterior Lökoensefalopati: Manyetik Rezonans Görüntüleme
Bulguları
53
6. Dzudie A, Boissonnat P, Roussoulieres A, et al. Cyclosporinerelated
posterior reversible encephalopathy syndrome after heart
transplantation: Should we withdraw or reduce cyclosporine?.
Transplant Proc 2009; 41: 716–720.
7. Finsterer j, Stöllberger C, Ostermann E, et al. Recurrent posterior
reversible encephalopathy syndrome in mitochondrial disorder
Blood Press 2009; 18: 126–129.
8. Kaya D, Dinçer A, Us Ö. Reversibl posterior lökoensefalopati
sendromu. Türk Nöroloji Dergisi, 2006; 12(3): 220-225.
9. Kwon EJ, Kim SW, Kim KK, et al. A case of gemcitabine and
cisplatin associated posterior reversible encephalopathy
syndrome. Cancer Res Treat 2009; 41(1): 53-55.

Thank you for copying data from http://www.arastirmax.com