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KMID : 0358420070500121762
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Korean Journal of Obstetrics and Gynecology
2007 Volume.50 No. 12 p.1762 ~ p.1767
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A case of reversible posterior Leukoencephalopathy syndrome (RPLS) with eclampsia
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Park Byung-Joon
Kim Yong-Wook
Ro Duck-Yeong
Kim Tae-Eung
Shin Jong-Chul
Lee Jung-Whee
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Abstract
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The reversible posterior leukoencephalopathy syndrome (RPLS) was first described by Hinchey et al. It is characterized by reversible posterior predominant white and gray matter lesions on brain magnetic resonance imaging (MRI) in patients with renal insufficiency or hypertension, or immunosuppression. The findings on neuroimaging are characteristic of subcortical edema without infarction. Patients with RPLS show various kinds of neurologic abnormalities characterized by headache, nausea, vomiting, visual disturbances, altered mental status, decreased alertness, seizures, and focal neurologic signs. The clinical and radiological findings usually resolve within two to three weeks when the underlying cause is removed. In this report we describe the case of RPLS with eclampsia in a 24-year-old woman, which appears to be involved in areas of the occipital, frontal, and parietal lobes. A brief review of the literature is also presented.
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KEYWORD
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Reversible posterior Leukoencephalopathy syndrome, Eclampsia
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