Uğur BIÇAK, MEHMET ASLAN, Cengiz YAKINCI, Tarık HALLAÇ, Alpay ALKAN

Reversibl posterior lökoensefalopatide difüzyon MRG bulguları: İki vaka sunumu

Difüzyon ağırlıklı MRG, reversibl posterior lökoensefalopatide vazojenik ödemin sitotoksik ödemden ayırımında ve erken tanısında önemli rol oynamaktadır. Vazojenik ödemin uzayıp sitotoksik ödem ve infarkt oluşturmasının önceden tesbit edilmesinde difüzyon ağırlıklı MRG'nin yardımcı olduğu gösterilmiştir. Bu yazıda, poststreptokoksik akut glomerulonefrit ile ilişkili RPLS'li iki vakanın difüzyon ağırlıklı MRG bulgularının farklı olması nedeniyle, difüzyon MRG'nin tanı ve takipte önemli olduğu, ancak yeterli olmadığı ve normal MRG ile desteklenmesi gerektiği belirtilmektedir.

Anahtar Kelimeler:

Glomerülonefrit, Beyin ödemi, Tanı, ayırıcı, Manyetik rezonans görüntüleme

Pragnostic utility of quantitave diffusion-weighted MR images in reversible posterior leukoencephalopathy syndrome: Two case report

Diffusion-weighted (DW) MR imaging helps to differentiate vasogenic edema from cytotoxic edema and should be utilized for early diagnosis and follow up of children with suspected reversible posterior leukoencephalopathy syndrome (RPLS) in order to prevent progressive and irreversible neurologic deterioration with cerebral ischemia and infarction. We reported, DW imaging findings of two cases RLPS related to poststreptococcal glomerulonephritis. The findings of two cases were different, so diffusion weighted MR images are important on diagnosis and follow up, but they are not sufficient and must be supported with normal MRI.

Keywords:

Glomerulonephritis, Brain Edema, Diagnosis, Differential, Magnetic Resonance Imaging,

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