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目的探讨可逆性后部白质脑病综合征的治疗。方法回顾分析20例患者的临床资料。结果15 d内16例症状体征均完全改善,4例大部分消失。20例经症状与体征控制后全部复查MRI,原异常信号基本消失16例,大部分消失4例。结论对于有明确RPLS病因的患者,出现急性临床脑病症状,应警惕RPLS的可能,及时复查头颅MRI,强调早期诊断,及时、适当的治疗可使RPLS患者的临床症状和影像学表现明显好转。
Objective To investigate the treatment of reversible posterior white matter disease syndrome. Methods The clinical data of 20 patients were retrospectively analyzed. Results The symptoms and signs of 16 cases were completely improved within 15 days, and most of 4 cases disappeared. Twenty cases underwent MRI and MRI after the symptoms and signs were controlled. The original abnormal signal disappeared in 16 cases and disappeared in 4 cases. Conclusion In patients with definite RPLS etiology, acute clinical encephalopathy symptoms should be alert to the possibility of RPLS, timely review of cranial MRI, emphasize the early diagnosis, timely and appropriate treatment can make RPLS patients clinical symptoms and imaging findings improved significantly.