Bu yaz\u0131da, ba\u015f a\u011fr\u0131s\u0131 ve bilin\u00e7 bozuklu\u011fu gibi belirtileri olan ve ensefalit de dahil olmak \u00fczere \u00e7e\u015fitli merkezi sinir sistemi patolojileriyle ay\u0131r\u0131c\u0131 tan\u0131s\u0131 gereken bir posterior reversibl ensefalopati sendromu (PRES) olgusu sunulmu\u015ftur. 36 ya\u015f\u0131nda kad\u0131n, bir hafta \u00f6nce yapt\u0131\u011f\u0131 do\u011fumdan birka\u00e7 g\u00fcn sonra ba\u015flayan bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131, uykuya e\u011filim ve sa\u00e7ma konu\u015fmayla ba\u015fvurdu. Ense sertli\u011fi ve meningeal iritasyon bulgular\u0131 yoktu. V\u00fccut s\u0131cakl\u0131\u011f\u0131 37.2\u00b0C, kan bas\u0131nc\u0131 150\/90 mmHg idi. L\u00f6kosit 16 000\/mm3 (%89 polimorfon\u00fckleer) idi. Beyin-omurilik s\u0131v\u0131s\u0131 bulgular\u0131 normaldi. Kontrasts\u0131z kraniyal bilgisayarl\u0131 tomografide sol oksipital b\u00f6lgede yakla\u015f\u0131k 5 cm \u00e7ap\u0131nda yama tarz\u0131nda hipodens alanlar dikkati \u00e7ekti. Yine kontrasts\u0131z kraniyal manyetik rezonans (MR) g\u00f6r\u00fcnt\u00fclemesinde solda daha belirgin olmak \u00fczere bilateral oksipital b\u00f6lgede ve bilateral bazal gangliyonlar ve capsula interna d\u00fczeyinde, aksiyal T2 a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fclerde kitle etkisi olmayan hiperintens ve aksiyal T1 a\u011f\u0131rl\u0131kl\u0131 g\u00f6r\u00fcnt\u00fclerde hipointens alanlar izlendi. Hastan\u0131n klinik ve n\u00f6roradyolojik bulgular\u0131 birlikte de\u011ferlendirildi\u011finde hastaya PRES tan\u0131s\u0131 konuldu. Semptomatik tedaviyle izlenen hastan\u0131n hipertansiyonu kontrol alt\u0131na al\u0131nd\u0131. Yat\u0131\u015f\u0131n\u0131n 4. g\u00fcn\u00fcnde bilinci a\u00e7\u0131lan hastan\u0131n yat\u0131\u015f\u0131n\u0131n 9. g\u00fcn\u00fcnde yinelenen kraniyal MR\u2019\u0131nda daha \u00f6nceki lezyonlar\u0131nda tama yak\u0131n regresyon g\u00f6r\u00fcld\u00fc. Klimik Dergisi 2018; 31(3): 232-4.<\/p>\n
Cite this article as<\/strong>: Aks\u00f6z S, Kaya \u015e, \u00c7omo\u011flu \u015e, Baykan AH. [A case of posterior reversible encephalopathy syndrome confused with encephalitis].\u00a0 Klimik Derg. 2018; 31(3): 232-4. Turkish.<\/p>\n","protected":false},"excerpt":{"rendered":" \u00d6zet Bu yaz\u0131da, ba\u015f a\u011fr\u0131s\u0131 ve bilin\u00e7 bozuklu\u011fu gibi belirtileri olan ve ensefalit de dahil olmak \u00fczere \u00e7e\u015fitli merkezi sinir sistemi patolojileriyle ay\u0131r\u0131c\u0131 tan\u0131s\u0131 gereken bir posterior reversibl ensefalopati sendromu (PRES) olgusu sunulmu\u015ftur. 36 ya\u015f\u0131nda kad\u0131n, bir hafta \u00f6nce yapt\u0131\u011f\u0131 do\u011fumdan birka\u00e7 g\u00fcn sonra ba\u015flayan bilin\u00e7 bulan\u0131kl\u0131\u011f\u0131, uykuya e\u011filim ve sa\u00e7ma konu\u015fmayla ba\u015fvurdu. Ense sertli\u011fi […]<\/p>\n","protected":false},"author":0,"featured_media":0,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5131],"tags":[3812,4782],"class_list":["post-14621","post","type-post","status-publish","format-standard","hentry","category-olgu-sunumu","tag-ensefalit","tag-posterior-reversibl-ensefalopati-sendromu"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14621","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/comments?post=14621"}],"version-history":[{"count":0,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/posts\/14621\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/media?parent=14621"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/categories?post=14621"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.klimikdergisi.org\/tr\/wp-json\/wp\/v2\/tags?post=14621"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}