caa a22 4500 445355379 CHVBK 20180317142858.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10072-010-0417-z doi (NATIONALLICENCE)springer-10.1007/s10072-010-0417-z A case of reversible posterior leukoencephalopathy syndrome with acute hypotension [Elektronische Daten] [Shoko Yamada, Ryo Kitagawa, Akira Teramoto] Reversible posterior leukoencephalopathy syndrome (RPLS) is theoretically associated with hypertensive encephalopathy because the most patients demonstrate abrupt increasing of blood pressure (BP). A 59-year-old woman, who had undergone cholecystectomy 4days before, complained of a headache and rapidly progressing visual disturbance. Her BP was postoperatively controlled at around 150/80, but her BP was 89/46 when she noticed her symptoms. Magnetic resonance imaging showed vasogenic edema in bilateral occipital and right parietal lobes, and intracranial magnetic resonance angiography revealed bilateral diffuse peripheral vasoconstriction. After discontinuing ropivacaine administration via epidural catheter, her BP rose to 114/62 and her symptoms completely disappeared within a few days. Except for hypotension, the clinical course and the radiological evidences in our case were consistent with RPLE. This case supports another hypothesis of RPLS mechanism that arterial endothelial injury by toxic drug effect results in transudation of fluid from blood vessels causing vasogenic brain edema. Springer-Verlag, 2010 Reversible posterior leukoencephalopathy syndrome nationallicence Hypertensive encephalopathy nationallicence Hypotension nationallicence Vasogenic edema nationallicence Vasospasm nationallicence Yamada Shoko Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan aut Kitagawa Ryo Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan aut Teramoto Akira Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan aut Neurological Sciences Springer Milan 32/1(2011-02-01), 165-168 1590-1874 32:1<165 2011 32 10072 https://doi.org/10.1007/s10072-010-0417-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-010-0417-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Yamada Shoko Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Kitagawa Ryo Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 700 1- Teramoto Akira Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/1(2011-02-01), 165-168 1590-1874 32:1<165 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer