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KMID : 0366220090440030177
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Korean Journal of Hematology
2009 Volume.44 No. 3 p.177 ~ p.181
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Reversible Posterior Leukoencephalopathy Syndrome in a Patient with Relapsed Hodgkin’s Disease: A Case Report
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Kim Ji-Won
Moon Ji-Mi
Kang Eun-Joo
Choi Yoon-Ji
Kim Jung-Sun
Choi Jong-Gwon
Seo Hee-Yeon
Sung Hwa-Jung
Choi Chul-Won
Kim Byung-Soo
Kim Jun-Suk
Seo Woo-Keun
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Abstract
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Reversible posterior leukoencephalopathy syndrome (RPLS) is a distinctive clinicoradiological entity that’s characterized by headache, confusion, seizure and frequent visual disturbances. It is associated with certain neuro-radiological findings, and predominantly white matter abnormalities of the parieto-occipital lobes. RPLS has been identified mostly in patients with malignant hypertension, pre-eclampsia and renal insufficiency and in those patients who are using immunosuppressive agents or cytotoxic drugs. We report here on a case of RPLS in a patient who was undergoing chemotherapy. A 49-year-old woman presented with abrupt mental changes and visual disturbances five days after the administration of a chemotherapeutic agent. MRI showed hyper-intense signals on the magnetic resonance (MR) diffusion images in the bilateral temporal, parietal and occipital lobes. The clinical manifestations completely resolved after one week of treatment that consisted of blood pressure control, a negative intake-output balance and the best supportive care. These radiological changes and the reversible clinical manifestations were consistent with RPLS.
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KEYWORD
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Posterior leukoencephalopathy syndrome, Hodgkin disease, ESHAP regimen
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