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[A case of posterior reversible encephalopathy syndrome associated with Takayasu's arteritis].

Authors :
Wakida K
Morita H
Sakurai T
Nishida H
Source :
Rinsho shinkeigaku = Clinical neurology [Rinsho Shinkeigaku] 2016; Vol. 56 (3), pp. 174-9. Date of Electronic Publication: 2016 Mar 24.
Publication Year :
2016

Abstract

A 75-year-old woman presented with a 4-month history of repetitive loss of consciousness, dizziness, and ear fullness. Fluid attenuation inversion recovery magnetic resonance imaging showed high-intensity areas in the right occipital lobe, both frontal lobes, and parietal lobes, and the patient was therefore admitted to our department for further examination. Neurologic findings included a positive Barré sign (right upper extremity), impaired tandem gait, and positive left-sided Babinski reflex. The patient was diagnosed with Takayasu's arteritis owing to a difference in blood pressure between the left and right upper extremity, weakened pulse in the left upper extremity, as well as thickened arterial wall, and delayed enhancement on a contrast-enhanced computed tomography image. The head magnetic resonance imaging findings disappeared within 4 months and the patient was diagnosed with posterior reversible encephalopathy syndrome. Posterior reversible encephalopathy syndrome associated with elderly female Takayasu's arteritis is rare. ; the present case therefore offers valuable information.

Details

Language :
Japanese
ISSN :
1882-0654
Volume :
56
Issue :
3
Database :
MEDLINE
Journal :
Rinsho shinkeigaku = Clinical neurology
Publication Type :
Academic Journal
Accession number :
26912227
Full Text :
https://doi.org/10.5692/clinicalneurol.cn-000815