Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Transient Splenial Lesion after Recovery of Cerebral Vasoconstriction and Posterior Reversible Encephalopathy Syndrome: A Case Report of Eclampsia
Tokinori SekineKen IkedaTakehisa HirayamaAkira SuzukiYasuo Iwasaki
Author information
JOURNAL OPEN ACCESS

2012 Volume 51 Issue 11 Pages 1407-1411

Details
Abstract

We describe a 34-year-old eclamptic woman with transient splenial lesion (TSL) after reversible cerebral vasoconstriction (RCV) and posterior reversible encephalopathy syndrome (PRES). She developed a headache, generalized convulsion and severe hypertension at an uncomplicated virginal delivery. Brain MRI disclosed T2-hyperintensity lesions in the posterior circulation territories. Two weeks later, T2-hyperintensity lesions had vanished. MR angiography (MRA) revealed segmental vasoconstriction in the right posterior, left internal and middle cerebral arteries. At one month after onset, MRA was normalized. T2-weighted imaging depicted asymptomatic isolated TSL. These radiological changes of the present patient highlighted the serial relationship between PRES, RCV and TSL in eclampsia.

Content from these authors
© 2012 by The Japanese Society of Internal Medicine
Previous article Next article
feedback
Top