Isolated cerebellar reversible leukoencephalopathy syndrome in a patient with end stage renal disease.
We report an adult end-stage renal disease patient with only cerebellum involvement of reversible posterior leukoencephalopathy syndrome (RPLS). A 37-year-old woman, diagnosed as chronic glomerulonephritis, was admitted to our hospital with progressive visual disturbance and severe headache. MRI revealed hyperintense signal intensity changes restricted in the cortex and subcortical white matter of the cerebellum. With appropriate control of blood pressure and intracranial pressure, her symptoms were improved and complete resolution of previous hyperinternse lesion was shown on MRI after the 19th day of admission. This is first case of isolated cerebellar involvement of RPLS without other cerebral involvement in an adult.
Lim
Min Hee
MH
Department of Internal Medicine, College of Medicine, Gyeongsang National University, Jinju, South Korea.
Kim
Dong Wook
DW
Cho
Hyun Seop
HS
Lee
Hyeon Jeong
HJ
Kim
Hyun-Jung
HJ
Park
Ki-Jong
KJ
Chang
Se-Ho
SH
Park
Dong Jun
DJ
D000328:Adult; D002526:Cerebellar Diseases / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications*; D008279:Magnetic Resonance Imaging; D054038:Posterior Leukoencephalopathy Syndrome / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy