- 期刊
Reversible Posterior Leukoencephalopathy Syndrome: A Case Report and Review of the Literature
肝細胞癌以急性脊髓壓迫症狀為初始表現
並列摘要
A 23-year-old man with minimal-changed nephrotic syndrome presented reversible posterior leukoencephalopathy syndrome (RPLS) which manifested as visual disturbance, renal hypertension, headache, generalized seizure and altered mental status. T2-weighted images and fluid-attenuated inversion recovery images magnetic resonance imaging (MRI) showed high signal intensity lesions in the right posterior temporo-parieto-occipital region and left posterior temporal area. Diffusion-weighted brain MRI did not show hyperintense signal in these lesions. After control of his hypertension, these lesions disappeared with improvement of clinical symptoms. We report this case and review the literature and suggest that RPLS in brain MRI may be the results of hypertensive encephalopathy due to vasogenic edema.
延伸閱讀
- Hsieh, Y. Y., Hsu, C. W., Kuo, T. T., Yeh, C. T., Lin, S. M., & Lin, D. Y. (2008). 肝細胞癌併表皮轉移：一病例報告. 臺灣消化醫學雜誌, 25(3), 249-254. https://doi.org/10.6557/GJT.200809_25(3).0003
- 于明暉、陳建仁（1992）。肝細胞癌之流行病學特徵與危險因子。中華民國公共衛生學會雜誌，11(3)，165-187。https://doi.org/10.6288/JNPHARC1992-11-03-01
- Huang, C. W., Chu, P. J., Chao, H. M., Hsi, S. C., & Hung, S. T. (2012). 肝細胞癌合併橈神經麻痺：病例報告. 南臺灣醫學雜誌, 8(1), 39-42. https://doi.org/10.6726/MJST.201206_8(1).0006
- Liou, D. C., Wu, C. S., & Maa, H. C. (1998). 原發惡性肝臟類上皮血管內皮瘤的影像表現：病例報告. 中華放射線醫學雜誌, 23(1), 33-36. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199802-23-1-33-36-a
- 賴彥廷、張耀君、鄭重、陳興和、闕弘昌（2004）。以急性腹痛為最初表現的脊髓硬膜外海綿狀血管瘤：一病例報告。台灣醫學，8(4)，496-502。https://doi.org/10.6320/FJM.2004.8(4).05