Percutaneous Transluminal Angioplasty Improved Posterior Reversible XXXX Syndrome due to Renovascular Hypertension.

@entity1 @entity410 @entity8 @entity1369 @entity850 @entity573 @entity101 @entity935 @entity75 @entity2791 @entity4815 @entity4267 @entity12040 @entity1188 @entity661 @entity916 @entity10 @entity1063 @entity165
UNASSIGNED: A 51-year-old @entity1 was admitted to our hospital complaining of preceding throbbing @entity410 . @entity10 and convulsive @entity410 disappeared and his consciousness recovered to alert within 2 hours after onset. Neurological examination showed no abnormal findings. Laboratory examinations revealed high low-density lipoprotein @entity165 (179   mg/dL), @entity916 (42   ng/mL/hour), @entity1369 (265   pg/mL), @entity1063 (1031   pg/mL), and @entity935 (79   pg/mL). In brain magnetic resonance imaging (MRI), fluid-attenuated inversion recovery, but not the diffusion-weighted image, showed high signal intensities in white matter in bilateral occipital, parietal, and frontal lobes, with no stenotic changes on magnetic resonance angiography. In addition, the diffusion coefficient of focal lesions was elevated. Decreasing blood flow velocity and separated lumens in the right renal artery trunk were shown by renal artery ultrasonography. Enhanced computed tomography and renal angiography showed right renal partial @entity1188 and @entity850 in the right renal artery, accompanied by thrombosed false lumen. No stenotic changes were seen in other peripheral arteries. These findings seemed incompatible with renal dissection and @entity4267 , @entity12040 , and @entity573 nodosa. Our diagnosis was @entity75 ( @entity75 ) induced by @entity4815 due to @entity8 . To improve the @entity2791 and secondary @entity101 , we performed @entity661 , in addition to administering antihypertensive and lipid-lowering medications. After angioplasty, @entity101 and high signal intensity at brain MRI were clearly improved. We would like to emphasize that renal artery angioplasty should be considered as an option for @entity1 with @entity75 and malignant @entity101 .
