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Titolo:
Reversible posterior leukoencephalopathy occurring during resection of a posterior fossa tumor: Case report and review of the literature
Autore:
Moriarity, JL; Lim, M; Storm, PB; Beauchamp, NJ; Olivi, A;
Indirizzi:
Johns Hopkins Univ Hosp, Dept Neurol Surg, Baltimore, MD 21287 USA Johns Hopkins Univ Hosp Baltimore MD USA 21287 g, Baltimore, MD 21287 USA Johns Hopkins Univ Hosp, Dept Radiol, Baltimore, MD 21287 USA Johns Hopkins Univ Hosp Baltimore MD USA 21287 l, Baltimore, MD 21287 USA
Titolo Testata:
NEUROSURGERY
fascicolo: 5, volume: 49, anno: 2001,
pagine: 1237 - 1239
SICI:
0148-396X(200111)49:5<1237:RPLODR>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
HYPERTENSIVE ENCEPHALOPATHY;
Keywords:
ependymoma; hypertensive encephalopathy; occipitoparietal encephalopathy; posterior fossa surgery; reversible posterior leukoencephalopathy;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Olivi, A Johns Hopkins Univ Hosp, Dept Neurol Surg, 600 N Wolfe St,Meyer 7-113, Baltimore, MD 21287 USA Johns Hopkins Univ Hosp 600 N Wolfe St,Meyer 7-113 Baltimore MD USA 21287
Citazione:
J.L. Moriarity et al., "Reversible posterior leukoencephalopathy occurring during resection of a posterior fossa tumor: Case report and review of the literature", NEUROSURGER, 49(5), 2001, pp. 1237-1239

Abstract

OBJECTIVE AND IMPORTANCE: Our goal was to present a clinically and radiographically documented case of reversible posterior leukoencephalopathy (RPL)that occurred during resection of a posterior fossa tumor. Although RPL has been previously described in multiple nonsurgical settings, we hope that this case description makes RPL more clinically and radiographically recognizable to neurosurgeons. CLINICAL PRESENTATION: RPL is the clinical syndrome of headaches, altered mental status, seizures, and visual loss, with radiographic findings of reversible parieto-occipital changes on cerebral computed tomographic and magnetic resonance imaging scans. it has been previously reported in the settings of malignant hypertension, renal disease, eclampsia, and immunosuppression. To our knowledge, the patient presented represents the first clinicallyand radiographically documented case of RPL occurring during resection of a posterior fossa tumor. The patient intraoperatively exhibited wide fluctuations in blood pressure and awoke with clinical and radiographic findings consistent with RPL. INTERVENTION: Aggressive intraoperative and postoperative management of the patient's blood pressure, supportive intensive care, rehabilitation, and close radiographic follow-up were performed. CONCLUSION: RPL can occur as a result of intraoperative variations in blood pressure, even among young, previously healthy individuals. With the aforementioned interventions, the patient experienced significant clinical and radiographic recovery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/07/20 alle ore 11:54:26