高血压脑病 Hypertensive encephalopathy

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23岁女性患者,患急性恶性动脉高血压,病因与使用环孢菌素有关。磁共振T2加权像和用造影剂增强的T1加权像上可以看到双侧颞部和枕部损害。X线CT是异常的,但不清晰。早期灌注异常在较高层面很显著。在稍后的时间里,这些病变显示增强。

This 23 year old woman had acute severe arterial hypertension, in association with administration of cyclosporine. Bilateral temporal and occipital lesions are seen on T2 weighted MR, and with gadolinium -enhanced T1 weighted MR. Roentgen-ray CT is abnormal, but less clear. Early perfusion abnormalities are apparent at higher levels. These show some enhancement at the later time point.

为保护隐私某些细节被删除。 Some details have been altered to protect confidentiality.
Keith A. Johnson (keith@bwh.harvard.edu), J. Alex Becker (jabecker@mit.edu)

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