A Case of Porphyria with reversible MRI findings

J Korean Neurol Assoc > Volume 16(2); 1998 > Article

Journal of the Korean Neurological Association 1998;16(2): 241-244.

포르피린증 환자에서 보인 가역적 자기공명영상소견 1례

강석윤, 마효일 , 곽규환 , 이상암

울산대학교 의과대학 서울중앙병원 신경과학교실

A Case of Porphyria with reversible MRI findings

Suk-Yun Kang, M.D., Hyeo-Il Ma, M.D., Kyu-Hwan Kwak, M.D., San-Ahm Lee, M.D.

Dept. of Neurology, Ulsan University, College of Medicine, Asan Medical Center

Abstract

The porphyrias are inherited or acquired disorders of specific enzymes in the heme biosynthetic pathway. Porphyrias have diverse neurologic manifestations with unknown mechanism. Some authors have proposed ischemic vasculopathy as a cause of neurologic deficits, which was supported by reversible MRI lesions in porphyrias. We report a rare case with reversible MRI findings in porphyria. A 27-year-old woman was presented with seizures and hallucinations. MRI revealed multiple lesions of both hemispheres. After treatment, MRI lesions showed marked resolution of signal abnormalities.