Reversible White Matter Lesions in a Patient with Fulminant Hepatitis and Acute Renal Failure.

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概要

• 論文の詳細を見る

• A 36-year-old man developed fulminant hepatitis and acute renal failure with profound hyponatremia (116 mEq/L). Emergent hemodialysis corrected the serum sodium to 136 mEq/L within 24 hours. He developed generalized convulsions 11 days later. Magnetic resonance imaging (MRI) revealed a single large symmetrical lesion in the pons and extensive white matter lesions in the bilateral occipital, temporal, parietal and right frontal regions. These lesions showed marked resolution as the patient recovered. Fulminant hepatitis and acute renal failure could induce extensive edema in the cerebral white matter. Therefore, not all MRI abnormalities in the white matter after correction of hyponatremia necessarily reflect myelinolysis.(Internal Medicine 33: 360-362, 1994)

• 社団法人　日本内科学会の論文

著者

• MATSUNAGA Takashi

  the Department of Neurology, Asahi General Hospital

• TAKAHASHI Kazuo

  the Department of Clinical Cell Biology, Graduate School of Medicine, Chiba University

• Tsukagoshi Hiroshi

  The Department Of Neurology Showa University School Of Medicine Kakeyu Hospital

• Matsunaga Takashi

  The Department Of Neurology Asahi General Hospital

• TSUKAGOSHI Hiroshi

  The Department of Neurology, School of Medicine, Tokyo Medical and Dental University

• IKEDA Masayuki

  The Department of Neurology, Asahi General Hospital

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