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首页> 外文期刊>Clinical EEG and neuroscience: official journal of the EEG and Clinical Neuroscience Society (ENCS) >EEG Findings in Posterior Reversible Encephalopathy Syndrome
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EEG Findings in Posterior Reversible Encephalopathy Syndrome

机译：后逆转脑病综合征的脑电图调查结果

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摘要

Introduction. Posterior reversible encephalopathy syndrome (PRES) is a relatively common cause of encephalopathy in the hospital setting, and the EEG findings have not been well described. The purpose of this study was to review the EEG findings in a series of patients with PRES. Methods. We retrospectively reviewed our electronic medical record database to identify patients who received a diagnosis of PRES at Tampa General Hospital from January 2016 to October 2017. The diagnosis of PRES was suspected on clinical presentation and confirmed by magnetic resonance imaging. We selected patients with PRES who had received at least 1 EEG. EEGs were interpreted by 2 board-certified electroencephalographers. Results. From January 2016 to October 2017, 19 patients were diagnosed with PRES at Tampa General Hospital. Of those, 10 received at least 1 EEG. Four patients were male, 6 were female. The ages ranged from 21 to 87 (mean was 47). The patients had the following clinical presentations: 5 with encephalopathy, 8 with seizures, 2 with vision changes, and 3 with headache (some patients had more than 1 symptom). EEGs findings were as follows: 3 were normal; 3 showed intermittent generalized slowing; 2 showed continuous generalized slowing; 3 showed background slowing; 1 showed background suppression; 1 showed generalized rhythmic delta activity (GRDA); 1 showed GRDA, plus spike/sharp-wave discharges; 1 showed generalized periodic discharges. The etiologies were as follows: 9 from hypertension, 1 secondary to eclampsia, 3 due to posttransplant immunosuppression, and 1 patient was undergoing chemotherapy (some were multifactorial). Conclusion. EEG findings in PRES are diverse, with no specific or even predominant pattern, based on this small sample size.
机译：介绍。后逆转性脑病综合征（Pres）是医院环境中脑病的相对常见的原因，并且EEG调查结果尚未得到很好的描述。本研究的目的是审查一系列患者的脑电图调查结果。方法。我们回顾性地审查了我们的电子医疗记录数据库，以识别从2016年1月到2017年1月在坦帕综合医院诊断PRE的患者。PRES的诊断怀疑临床介绍并通过磁共振成像证实。我们选择了收到至少1只EEG的PRAS患者。 eegs被2个董事会认证的脑电图专用解释。结果。从2016年1月到2017年10月，19名患者被诊断为坦帕综合医院的PRES。其中，10个收到至少1只EEG。四名患者是男性，6名是女性。年龄范围从21〜87（平均值为47）。患者具有以下临床介绍：5患有脑病，8例，癫痫发作，2例，视力变化，3例头痛（有些患者有超过1个症状）。 EEGS发现如下：3是正常的; 3显示间歇性的广义放缓;图2显示了持续的广义放缓; 3显示背景放缓; 1显示背景抑制; 1显示了广义节律δ活性（GRDA）; 1显示GRDA，加上尖峰/尖锐波放电; 1显示了广义定期放电。病因如下：9来自高血压，1继发于异丙胺，由于后翻版物免疫抑制，1例患者正在进行化疗（有些是多学会）。结论。基于这种小样本大小，PRES的EEG调查结果是多样的，没有特异性甚至主要的模式。

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