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A case of posterior reversible leukoencephalopathy syndrome caused by fibromuscular dysplasia
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- Kobayashi Fumi
- Division of Neurology, Department of Internal Medicine, Tokyo Women’s University Yachiyo Medical Center
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- Kato Hidetaka
- Division of Neurology, Department of Internal Medicine, Tokyo Women’s University Yachiyo Medical Center
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- Suzuki Miki
- Division of Neurology, Department of Internal Medicine, Tokyo Women’s University Yachiyo Medical Center
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- Usui Ryosuke
- Division of Nephrology, Department of Internal Medicine, Tokyo Women’s University Yachiyo Medical Center
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- Koike Minako
- Division of Nephrology, Department of Internal Medicine, Tokyo Women’s University Yachiyo Medical Center
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- Ohashi Takashi
- Division of Neurology, Department of Internal Medicine, Tokyo Women’s University Yachiyo Medical Center
Bibliographic Information
- Other Title
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- 線維筋性異形成による可逆性後部白質脳症症候群の1例
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Description
<p>A 23-year-old woman presented with disturbance of consciousness and seizure. Her blood pressure was remarkably high, and brain magnetic resonance imaging (MRI) showed high-intensity T2 signals in the bilateral basal ganglia, corpus callosum, cerebral white matter, and cortex. With the administration of angiotensin II receptor blocker, the symptoms and MRI findings improved, along with normalization of blood pressure, and a diagnosis of posterior reversible leukoencephalopathy syndrome (PRES) was made. Plasma renin activity was high, and the right kidney was severely atrophic. Results from renal and adrenal vein sampling revealed renal vascular hypertension derived from the right renal artery stenosis. The right kidney was then removed by laparoscopic nephrectomy. Pathological examination of the kidney confirmed the diagnosis of fibromuscular dysplasia (FMD). In juvenile-onset encephalitis/encephalopathy, PRES due to FMD should be included in the differential diagnosis.</p>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 56 (9), 622-626, 2016
Societas Neurologica Japonica
