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From
Cushing Syndrome Complicated by Multiple Pathological Spinal Fractures and Posterior Reversible Encephalopathy Syndrome in the Post-delivery Phase
Ken-ichi Muramatsu, Kei Jitsuiki, Hoshiko Furusawa, Hiroki Nagasawa, Hiromichi Ohsaka, Youichi Yanagawa
American Journal of Medical Case Reports
.
2021
, 9(10), 502-506 doi:10.12691/ajmcr-9-10-6
Figure 1. Head computed tomography (CT) on code blue.
CT showed bilateral low density in the parieto-occipital white matter with a minute high-density spot in her brain
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Figure 2. Truncal computed tomography on code blue.
CT revealed bilateral aspirated lesions in the lungs (upper) and enlargement of the right adrenal gland (lower, arrow)
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Figure 3. Head magnetic resonance image (MRI) on day 4 after code blue.
MRI showed bilateral high-intensity signals in the fronto-parieto-occipital white matter (upper) on fluid attenuated inversion recovery imaging, which resolved later (lower). This was compatible with posterior reversible encephalopathy syndrome
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Figure 4. Spinal magnetic resonance image (MRI) on days 4 and 11 after code blue.
Spinal MRI shows a loss of vertebral height of the Th11, L1 and L5 vertebrae. The MRI also reveals multiple high intensity signals in the multiple vertebral bodies and discs on short-TI inversion recovery imaging. These suggest multiple compression fractures, bone and disc bruises deteriorated due to the patient’s convulsions
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