Reversible Posterior Leukoencephalopathy Syndrome in a Postpartum Woman without Eclampsia
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概要
- 論文の詳細を見る
We report a patient who developed reversible posterior leukoencephalopathy syndrome (RPLS) in puerperium without preeclampsia-eclampsia or chronic hypertension. The woman suddenly complained of visual loss and headache 10 days after delivery caused by edematous lesions mainly distributed in the bilateral occipital lobe. Apparent diffusion coefficient map was useful for distinction of this vasogenic edema from cytotoxic edema due to brain infarction. Under the diagnosis of RPLS, we successfully treated her disease using a trinitroglycerin as an antihypertensive, a hyperosmolar agent, methylprednisolone, and a free radical scavenger. Postpartum women may have the risk of development of RPLS even without preeclampsia-eclampsia. Vascular endothelial dysfunction may trigger RPLS, in addition to acute and modest increase in systemic pressure.(Internal Medicine 42: 1139-1143, 2003)
- 社団法人 日本内科学会の論文
- 2003-11-01
著者
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Okada Yasushi
Cerebrovascular Center And Clinical Research Institute National Kyushu Medical Center
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Kuwabara Yasuo
Department Of Radiology Faculty Of Medicine Fukuoka University
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Kuwabara Yasuo
Dep. Of Radiology School Of Medicine Fukuoka Univ.
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Toyoda Kazunori
Department Of Cerebrovascular Disease And Clinical Research Institute National Kyushu Medical Center
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Uwatoko Takeshi
Department of Cerebrovascular Disease, National Kyushu Medical Center, Fukuoka
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Hirai Yuko
Department Of Cerebrovascular Disease National Kyushu Medical Center
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Kuwabara Yasuo
Graduate School Of Medical Sciences Kyushu University
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Ibayashi Setsuro
Department Of Medicine And Clinical Science Graduate School Of Medical Sciences
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Okada Yasushi
Department Of Biology Kagawa Medical School
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Okada Yasushi
Department Of Cerebrovascular Disease And Clinical Research Institute National Kyushu Medical Center
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Yasumori Kotaro
Neuroradiology Cerebrovascular Center And Clinical Research Institute National Kyushu Medical Center
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Shimada Toshifumi
Department Of Cerebrovascular Disease And Clinical Research Institute National Kyushu Medical Center
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Kuwabara Yasuo
Kyushu Univ. Hospital Fukuoka Jpn
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Toyoda Kazunori
Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center
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Uwatoko Takeshi
Department of Cerebrovascular Disease and Clinical Research Institute, National Kyushu Medical Center
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IBAYASHI Setsuro
Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University
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