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REVERZIBILNA POSTERIORNA LEUKOENCEFALOPATIJA ILI TUMOR MOZGA – PRIKAZ BOLESNICE
Liječnički vjesnik, 2010, Vol.132 (5-6), p.151
[Peer Reviewed Journal]
ISSN: 0024-3477 ;EISSN: 1849-2177 ;CODEN: LIVJA5
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Title:
REVERZIBILNA POSTERIORNA LEUKOENCEFALOPATIJA ILI TUMOR MOZGA – PRIKAZ BOLESNICE
Author:
RIBARIĆ, BRANKA
;
MILAT, DAVORKA
;
PETELIN GADŽE, ŽELJKA
;
FRANJIĆ, JASNA
;
PETRAVIĆ, DAMIR
Subjects:
Brain edema – diagnosis, etiology
;
Brain neoplasms – diagnosis
;
Brain – pathology
;
Edem mozga – dijagnoza, etiologija
;
Hipertenzija – komplikacije
;
Hypertension – complications
;
Mozak – patologija
;
Posterior leukoencephalopathy – etiology, diagnosis, physiopathology
;
Posteriorna leukoencefalopatija – etiologija, dijagnoza, patofiziologija
;
Tumori mozga – dijagnoza
Is Part Of:
Liječnički vjesnik, 2010, Vol.132 (5-6), p.151
Description:
Sindrom reverzibilne posteriorne leukoencefalopatije klinički se prezentira glavoboljom, konfuzijom, epileptičkim napadajima i smetnjama vida. Na magnetskoj rezonanciji (MR) mozga vidljiv je edem koji zahvaća bijelu tvar parijetookcipitalnih regija. U početku je taj sindrom etiološki bio povezan uz arterijsku hipertenziju, bubrežne bolesti i imunosupresivnu terapiju. U posljednje vrijeme prepoznati su i drugi uzroci poput eklampsije, hemolitičko-uremičkog sindroma, bolesti vezivnog tkiva, malignih bolesti itd. Autori opisuju slučaj 72-godišnje bolesnice s anamnezom dugogodišnje oscilatorne arterijske hipertenzije koja je naglo izazvala smeteno stanje popraćeno glavoboljom, lijevom homonimnom hemianopsijom i lijevom hemiparezom, povezano s naglim povišenjem vrijednosti krvnog tlaka. Na MR-u mozga opisana je opsežna lezija bijele tvari, koja je zahvaćala desni parijetalni i okcipitalni režanj, splenijum korpusa kalozuma i lijevi okcipitalni režanj, poglavito suspektna na ekspanzivni proces. Međutim, nakon opsežne dijagnostičke obrade postavljena je dijagnoza reverzibilne posteriorne leukoencefalopatije, etiološki povezane s arterijskom hipertenzijom. Bolesnica je trenutačno uredna neurološkog statusa, kontrolni MR mozga pokazao je potpunu regresiju opisane lezije bijele tvari.
Publisher:
Hrvatski liječnički zbor
Language:
Croatian;English
Identifier:
ISSN: 0024-3477
EISSN: 1849-2177
CODEN: LIVJA5
Source:
DOAJ Directory of Open Access Journals
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