A case of reversible posterior leukoencephalopathy syndrome (RPLS) with eclampsia.
- Author:
Byung Joon PARK
1
;
Yong Wook KIM
;
Duck Yeong RO
;
Tae Eung KIM
;
Jong Chul SHIN
;
Jung Whee LEE
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Our Lady of Mercy Hospital, Inchon, Korea. ywk@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Reversible posterior leukoencephalopathy syndrome;
Eclampsia
- MeSH:
Brain;
Eclampsia*;
Edema;
Female;
Headache;
Humans;
Hypertension;
Immunosuppression;
Infarction;
Magnetic Resonance Imaging;
Nausea;
Neuroimaging;
Neurologic Manifestations;
Parietal Lobe;
Posterior Leukoencephalopathy Syndrome*;
Pregnancy;
Renal Insufficiency;
Seizures;
Vomiting;
Young Adult
- From:Korean Journal of Obstetrics and Gynecology
2007;50(12):1762-1767
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The reversible posterior leukoencephalopathy syndrome (RPLS) was first described by Hinchey et al. It is characterized by reversible posterior predominant white and gray matter lesions on brain magnetic resonance imaging (MRI) in patients with renal insufficiency or hypertension, or immunosuppression. The findings on neuroimaging are characteristic of subcortical edema without infarction. Patients with RPLS show various kinds of neurologic abnormalities characterized by headache, nausea, vomiting, visual disturbances, altered mental status, decreased alertness, seizures, and focal neurologic signs. The clinical and radiological findings usually resolve within two to three weeks when the underlying cause is removed. In this report we describe the case of RPLS with eclampsia in a 24-year-old woman, which appears to be involved in areas of the occipital, frontal, and parietal lobes. A brief review of the literature is also presented.
