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目的探讨可逆性脑后部白质病变综合征(RPLS)的病因、临床表现,影像学特征及治疗。方法分析3例可逆性脑后部白质病变综合征患者的临床资料并复习文献。结果 3例中,均有视力障碍,头部MRI显示大脑半球脑白质长T1长T2信号。经治疗患者的临床表现和影像学均很快好转。结论可逆性脑后部白质病变综合征是一种预后良好的疾病,结合病史和MRI特征可以早期诊断。
Objective To investigate the etiology, clinical manifestations, imaging features and treatment of reversible posterior white matter syndrome (RPLS). Methods The clinical data of 3 patients with reversible posterior segment white matter disease syndrome were analyzed and reviewed. Results All 3 cases had visual impairment, and the head MRI showed the long, long T1 signal of brain white matter in the cerebral hemisphere. The clinical presentation and imaging of treated patients improved rapidly. Conclusion Reversible posterior white matter syndrome is a good prognosis of the disease, combined with history and MRI features can be early diagnosis.