可逆性脑后部白质病变综合征病因复杂,患者多具有严重的基础疾病,起病较急,以精神行为异常、癫痫、视觉症状及局部神经定位体征为最主要的临床表现,头颅影像学检查可以发现以双侧大脑半球后部为主的对称性片状白质水肿。经过正确治疗,数周或数月内临床症状和影像学改变可以完全恢复,不遗留神经系统后遗症。本病的诊断必须密切结合患者病史、临床表现、头颅影像学特别是MRI检查及实验室指标等进行综合分析。 Reversible posterior cerebral white matter syndrome syndrome causes complex, many patients with severe underlying diseases, acute onset, mental disorders, epilepsy, visual symptoms and local neurological signs as the most important clinical manifestations, head imaging Can be found in the bilateral cerebral hemispheres dominated symmetry flaky white matter edema. After proper treatment, clinical symptoms and imaging changes within weeks or months can be completely restored, leaving the nervous system sequelae. The diagnosis of this disease must be closely combined with the patient’s medical history, clinical manifestations, craniosclerography, especially MRI and laboratory indicators such as a comprehensive analysis.