Posterior reversible encephalopathy syndrome after depletive lumbar puncture: a case report

Journal of Medical Case Reports

Jean-Louis Sautreaux¹  Jean-Baptiste Debaux¹  Michael Grelat¹ 

[1] Department of Neurosurgery, Bocage Central, University Hospital of Dijon, 14 rue Paul Gaffarel, Dijon 21000, France

关键词: Posterior reversible encephalopathy syndrome;    Pathogenesis;    Lumbar puncture;   

Others  :  1181091
DOI  :  10.1186/1752-1947-8-261

 received in 2014-01-25, accepted in 2014-05-28,  发布年份 2014

【 摘 要 】

Introduction

Posterior reversible encephalopathy syndrome is a rare entity. Its pathophysiology is still poorly understood.

Case presentation

We report the case of a 69-year-old White European woman who presented complete and proportional right hemiplegia, confusion, deviation of her head and eyes to the right, cortical blindness, and generalized tonic-clonic seizure 12 hours following a depletive lumbar puncture. Emergency cerebral magnetic resonance imaging showed bioccipital and left-side basal ganglia hyperintensities in the fluid attenuated inversion recovery and the diffusion-weighted images suggesting a radiological diagnosis of posterior reversible encephalopathy syndrome.

Conclusions

The diagnosis is established on clinical and radiological signs. This is the first report of this kind in the literature. We present a case of posterior reversible encephalopathy syndrome after depletive lumbar puncture and we discuss the pathophysiology.

【 授权许可】

   
2014 Grelat et al.; licensee BioMed Central Ltd.

【 图 表 】

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