[Reversible posterior leukoencephalopathy, severe hypertension, and cocaine abuse].
Reversible posterior leukoencephalopathy syndrome is a brain disorder characterized by headache, nausea, vomiting, visual disturbance, depressed level of consciousness, convulsions and occasionally focal neurologic deficits. It is commonly associated with malignant hypertension, toxemia of pregnancy or the use of immunosuppressive agents. Early diagnosis and specific treatment is essential. We report a case of reversible posterior leukoencephalopathy in the context of a hypertensive crisis in an habitual cocaine sniffer. Reversible posterior leukoencephalopathy must be suspected in every patient with hypertensive crisis and compatible clinic manifestation. Neuroimaging studies show characteristic features which confirm the diagnosis.
Rodríguez Gómez
E
E
Sección de Nefrología, Hospital Juan Ramón Jiménez, 21005 Huelva.
Rodríguez Gómez
F J
FJ
Merino
M J
MJ
Robledo
A
A
López Domínguez
J M
JM
Fernández Girón
F
F
González Martínez
J
J
D000280:Administration, Inhalation; D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001929:Brain Edema / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D003042:Cocaine / Q000008:administration & dosage; D019970:Cocaine-Related Disorders / Q000150:complications*; D004359:Drug Therapy, Combination; D005188:False Negative Reactions; D006261:Headache / Q000209:etiology; D006801:Humans; D006974:Hypertension, Malignant / Q000139:chemically induced* / Q000150:complications / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D009325:Nausea / Q000209:etiology; D010211:Papilledema / Q000209:etiology; D012907:Smoking; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology
D000959:Antihypertensive Agents; D003042:Cocaine