Japan
Research Article
Occurrence of Reversible Posterior Leukoencephalopathy Syndrome in a Continuous Ambulatory Peritoneal Dialysis Patient
Author(s): Isao Ohsawa, Tomohito Nishitani, Hiromitsu Fukuda, Yukihiko Takeda, Keiichi Matsuzaki, Seiji Nagamachi, Jiro Inuma, Hiroaki Io, Kayo Kaneko, Atsushi Kurusu, Chieko Hamada, Satoshi Horikoshi and Yasuhiko TominoIsao Ohsawa, Tomohito Nishitani, Hiromitsu Fukuda, Yukihiko Takeda, Keiichi Matsuzaki, Seiji Nagamachi, Jiro Inuma, Hiroaki Io, Kayo Kaneko, Atsushi Kurusu, Chieko Hamada, Satoshi Horikoshi and Yasuhiko Tomino
A 25 year-old man presented with reversible posterior leukoencephalopathy syndrome manifesting as seizure, loss of consciousness and severe hypertension. He had contracted end stage kidney disease due to Alport syndrome and was treated with continuous ambulatory peritoneal dialysis for one year. Because his residual renal function was declining, he had refractory hypertension for several months before admission. On the admission, brain T-2 intensified magnetic resonance imaging revealed hyperintensive changes that were restricted to the cortex and the subcortical white matter of the parietal lobe, temporal lobe and posterior lobe. His clinical symptoms were improved by appropriate control of blood pressure using antihypertensive drugs and fluid depletion by continuous hemodiafiltration. Previous hyperintensive lesions disappeared in brain magnetic resonance imaging. He was transferred.. Read More»
DOI:
10.4172/2161-0959.1000130
Journal of Nephrology & Therapeutics received 784 citations as per Google Scholar report