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Posterior Reversible Encephalopathy Syndrome Secondary to Intracranial Hypotension

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ÀÌÁöÀº ( Lee Jee-Eun ) 
Yonsei University College of Medicine Department of Neurology

À̼öÇö ( Lee Sue-Hyun ) 
Ewha Womans University Mokdong Hospital Department of Neurology
¹Ú±â´ö ( Park Kee-Duk ) 
Ewha Womans University Mokdong Hospital Department of Neurology
ÀÌÁ¤È¯ ( Lee Jung-Hwan ) 
Catholic University College of Medicine Seoul St. Mary¡¯s Hospital Department of Neurology

Abstract


Posterior reversible encephalopathy is an uncommon clinical and radiological syndrome that is attributed to disruption of the blood-brain barrier. Various conditions, such as an abrupt drop in intracranial pressure, are related to this syndrome. A 71-year-old woman showed altered mental status after lumbar interbody fusion with laminectomy. An imaging study of the brain revealed findings suggestive of posterior reversible encephalopathy and intracranial hypotension concomitantly. After the primary closure, her mental status and brain imaging findings showed improvement.

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Posterior leukoencephalopathy syndrome; Posterior leukoencephalopathy syndrome; Intracranial hypotension

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