Concurrent reversible posterior leukoencephalopathy syndrome during peri-operative period of renal transplantation in one case
10.3969/j.issn.2095-4344.2014.05.016
- VernacularTitle:肾移植围手术期并发可逆性后部白质脑病综合征1例
- Author:
Jianzhong LI
;
Lianhui FAN
;
Long LIU
;
Hongwei YANG
;
Xin LI
;
Zhiqiang CAO
;
Long HE
- Publication Type:Journal Article
- Keywords:
kidney transplantation;
posterior leukoencephalopathy syndrome;
postoperative complications;
magnetic resonance imaging;
frontal lobe;
hippocampus;
cerebral cortex
- From:
Chinese Journal of Tissue Engineering Research
2014;(5):748-753
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Reversible posterior leukoencephalopathy syndrome is rarely reported, especial y concurrent during perioperative period of renal transplantation. Due to its clinical manifestations similar to uremia, transplant doctors are easy to ignore or not timely diagnosis reversible posterior leukoencephalopathy syndrome, thus impacting its treatment.
OBJECTIVE:To discuss the clinical manifestations, imaging features, treatment experience and prognosis of patients with reversible posterior leukoencephalopathy syndrome concurrent during perioperative period of renal transplantation, in order to improve the diagnostic rate and therapeutic effect.
METHODS:We reviewed clinical data of one case of concurrent reversible posterior leukoencephalopathy syndrome during perioperative period of renal transplantation admitted at the General Hospital of Shenyang Military Region.
RESULTS AND CONCLUSION:From the 3rd day postoperatively, the patient gradual y experienced abnormal blood pressure, blurred vision, headache, seizures, disturbance of consciousness and mental and behavioral abnormalities. Early head CT showed low density in the left frontal lobe and corona radiate;and further MRI re-examination showed flake-shaped T1 and long T2 signals in the bilateral frontal lobe, hippocampus, parietal occipital cortex, and brainstem, as wel as high signals on FLARI images at the corresponding parts. After active treatment, the clinical manifestations were improved. Retrospective analysis of clinical data of this case and review of relevant literature wil provide clinical data for the diagnosis and treatment of concurrent reversible posterior leukoencephalopathy syndrome during perioperative period of renal transplantation.
