A Case of Reversible Posterior Leukoencephalopathy After Rhabdomyolysis

J Korean Neurol Assoc > Volume 19(2); 2001 > Article

Journal of the Korean Neurological Association 2001;19(2): 163-166.

횡문근융해 후 발생한 가역적 후백질뇌병증 1예

지광택, 김민정 ·유봉구 ·김광수 ·유경무

고신대학교 의학부 신경과학교실

A Case of Reversible Posterior Leukoencephalopathy After Rhabdomyolysis

"Kwang Taeck Ji, M.D., Min Jeong Kim, M.D., Bong Goo Yoo, M.D., Kwang Soo Kim, M.D., Kyung Moo Yoo, M.D."

Department of Neurology, Kosin University College of Medicine

Abstract

"Reversible posterior leukoencephalopathy is commonly associated with malignant hypertension, toxemia of pregnan-cy, or treatment with immunosuppressive drugs. A 17-year-old man who was diagnosed with traumatic rhabdomyolysis presented with seizure, visual disturbance, and severe pain in both thighs. Brain MRI revealed multiple areas of cortical and subcortical high signal intensities on T2 weighted images in the bilateral parieto-occipital lobes. He was treated with antihypertensive and anticonvulsant drugs and steroids. Forty days later, a follow-up MRI showed almost complete resolution of the brain lesions. The reversible posterior leukoencephalopathy may be associated with acute hypertension due to rhabdomyolysis-related acute renal failure. J Korean Neurol Assoc 19(2):163~166, 2001 Key Words : Reversible posterior leukoencephalopathy, Rhabdomyolysis, Brain MRI"