Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Irreversible Hemorrhagic Complication of Recurrent Posterior Reversible Encephalopathy Syndrome in a Patient with Systemic Lupus Erythematosus

전신성 홍반성 낭창 환자에서 재발한 가역적 후두부 뇌병증 증후군의 비가역적 출혈성 합병증

  • Kim, Ho Kyun (Department of Radiology, Catholic University of Daegu School of Medicine) ;
  • Lee, Hui Joong (Department of Radiology, Kyungpook National University Hospital) ;
  • Shin, Kyung Min (Department of Radiology, Kyungpook National University, School of Medicine)
  • 김호균 (대구가톨릭대학교 의과대학 영상의학과) ;
  • 이희중 (경북대학교병원 영상의학과) ;
  • 신경민 (경북대학교 의학전문대학원 영상의학과)
  • Received : 2012.11.01
  • Accepted : 2013.01.17
  • Published : 2013.06.30
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Abstract

Although most cases of posterior reversible encephalopathy syndrome (PRES) are reversible, irreversible lesions as a form of hemorrhage or infarction have been described. PRES as a complication of systemic lupus erythematosus (PRES-SLE) is associated with hypertension or use of immunosuppressive agents. We present a case of recurrent atypical PRES-SLE, which showed restricted diffusion in the first manifestation of SLE, resulted in parenchymal hemorrhagic transformations in the recurrent episode.

대부분의 가역적 후두부 뇌병증 증후군 (PRES)는 가역적인 경과를 보이나 출혈 또는 경색을 동반한 비가역적 경과들도 보고되고 있다. 전신성 홍반성 낭창 (SLE)과 관련된 PRES는 고혈압이나 면역억제제와 관련이 있다. 저자들은 최초 PRES발병 시 확산강조영상에서 확산제한을 보인 부위에서, PRESS의 반복 발생 시 출혈성 변환을 보인 증례를 보고한다.

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References

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