OPHTHALMOLOGIC MANIFESTATIONS REVEALING POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME: A CASE REPORT

T. Boutaj, Latifa Sbai, H. Lazaar, Romaissae Benkirane, Manal Tabchi, Zineb Hilali, R. El Hachimi, Samira Tachfouti, Abdellah Amazouzi, Ouafa Cherkaoui
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Abstract

Posterior reversible encephalopathy syndrome (PRES) is a rare clinico-radiological syndrome, secondary to many diseases especially high blood pressure. First described by Hinchey in 1996, pathophysiology is not clear. Clinical manifestations are headache, seizures, altered mental state such as confusion or coma, and also visual disturbances, such as hemianopia, blurred vision, diplopia, or cortical blindness. We report the case of a Moroccan 47-years old patient who arrived at the ophthalmology emergency presenting a sudden vision loss and horizontal diplopia, associated with headache. General examination found a high blood pressure at 240/110mmhg. The funduscopy of both eyes found hypertensive retinopathy. A brain MRI was realized showing bilateral occipital cortex T2/fluid-attenuated inversion recovery (FLAIR) hyperintensities. The diagnosis of Posterior reversible encephalopathy syndrome was retained.
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显示后可逆性脑病综合征的眼科表现:病例报告
后可逆性脑病综合征(PRES)是一种罕见的临床放射综合征,继发于多种疾病,尤其是高血压。1996 年,Hinchey 首次描述了该病,但病理生理学尚不清楚。临床表现为头痛、癫痫发作、精神状态改变,如意识模糊或昏迷,以及视觉障碍,如偏盲、视力模糊、复视或皮质性失明。我们报告了一例摩洛哥患者的病例,患者 47 岁,因突发性视力下降和水平复视,伴有头痛到眼科急诊就诊。全身检查发现血压高达 240/110mmhg。双眼眼底检查发现了高血压视网膜病变。脑部核磁共振成像显示双侧枕叶皮层 T2/流体增强反转恢复(FLAIR)高密度。后可逆性脑病综合征的诊断被保留下来。
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