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2015, vol. 72, br. 8, str. 735-739
Sindrom posteriorne reverzibilne encefalopatije
aVojnomedicinska akademija, Institut za radiologiju, Beograd
bSpecial Hospital for Cerebrovascular Diseases 'Sveti Sava', Belgrade
cVojnomedicinska akademija, Klinika za neurologiju, Beograd
dVojnomedicinska akademija, Klinika za neurohirurgiju, Beograd
eVojnomedicinska akademija, Institut za radiologiju, Beograd + Univerzitet odbrane, Medicinski fakultet Vojnomedicinske akademije, Beograd

e-adresakostic_dejan@ikomline.net
Ključne reči: mozak; bolesti; sindrom; dijagnoza; lečenje; ishod
Sažetak
Uvod. Sindrom posteriorne reverzibilne encefalopatije (PRES) karakterišu sledeći simptomi: epi napadi, poremećaji svesti i/ili vida, povraćanje, mučnina i fokalni neurološki znaci. Dijagnostičko snimanje obuhvata pregled magnetnom rezonancijom (MR) i kompjuterizovanom tomografijom (CT) gde se moždani edem vizuelizuje bilateralno i simetrično, preovlađuje posteriorno, parijetalno i okcipitalno. Prikaz bolesnika. Prikazali smo bolesnika starog 73 godine, dugogodišnjeg hipertoničara i bubrežnog bolesnika kod koga se razvio PRES sa simptomatologijom zadnje lobanjaske jame i verifikovanim promenama moždane bele mase na CT i MR, obostrano na svim režnjevima mozga. Nakon dve nedelje lečenja (antihipertenzivi, hipolipemici i rehidraciona terapija) nastupilo je kliničko poboljšanje bez ikakvih komplikacija i sa kompletnom rezolucijom promena bele moždane mase viđenim na CT i MR. Zaključak. PRES je reverzibilni sindrom čiji simptomi se povlače za nekoliko dana do nekoliko nedelja, ukoliko se rano postavi dijagnoza i odgovarajuće lečenje počne bez odlaganja.
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O članku

jezik rada: engleski
vrsta rada: prikaz slučaja
DOI: 10.2298/vsp140529053K
objavljen u SCIndeksu: 30.08.2015.
metod recenzije: dvostruko anoniman

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