中华灾害救援医学
中華災害救援醫學
중화재해구원의학
Chinese Journal of Disaster Medicine
2015年
10期
594-595
,共2页
可逆性后部白质脑病综合征%视神经脊髓炎%甲基强的松龙%病因
可逆性後部白質腦病綜閤徵%視神經脊髓炎%甲基彊的鬆龍%病因
가역성후부백질뇌병종합정%시신경척수염%갑기강적송룡%병인
reversible posterior leukoencephalopathy syndrome%neuromyelitis optica%methylprednisolone%pathogenesis
笔者报道1例视神经脊髓炎(neuromyelitis optica,NMO)患者采用大剂量甲基强的松龙治疗过程中发生可逆性后部白质脑病综合征(reversible posterior leukoencephalopathy syndrome,RPLS),明确诊断后,及时减少激素的剂量,病情得到缓解,提示临床使用大剂量甲基强的松龙治疗NMO时,应警惕RPLS的发生.
筆者報道1例視神經脊髓炎(neuromyelitis optica,NMO)患者採用大劑量甲基彊的鬆龍治療過程中髮生可逆性後部白質腦病綜閤徵(reversible posterior leukoencephalopathy syndrome,RPLS),明確診斷後,及時減少激素的劑量,病情得到緩解,提示臨床使用大劑量甲基彊的鬆龍治療NMO時,應警惕RPLS的髮生.
필자보도1례시신경척수염(neuromyelitis optica,NMO)환자채용대제량갑기강적송룡치료과정중발생가역성후부백질뇌병종합정(reversible posterior leukoencephalopathy syndrome,RPLS),명학진단후,급시감소격소적제량,병정득도완해,제시림상사용대제량갑기강적송룡치료NMO시,응경척RPLS적발생.
This paper reported 1 case of RPLS in a patient with a diagnosed neuromyelitis optica (NMO) happening after methylprednisolone infusion. After diagnosed RPLS, she had favorite outcome by reducing the methylprednisolone. This case suggested that it should be taken into consideration in patient with RPLS, especially those who underwent high-dose methylprednisolone administration.