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The authors describe a clinical case of posterior reversible encephalopathy syndrome (PRES) in a 36-year-old female patient due to the first onset of not previously diagnosed acute intermittent porphyria. Only 22 clinical and radiological cases of the combination of PRES and acute porphyria were reported in the literature by 2018. This is the first report of a similar association confirmed by magnetic resonance imaging (MRI) in the Russian literature. The article describes the dynamics of the disease from unexplained abdominal pain to repeated epileptic paroxysms and subsequent formation of a detailed picture of encephalo- and polyneuropathy. The particularities of neurological presentations, the significance of epileptic paroxysms and MRI in the diagnosis of the abovementioned combined pathology are shown. Possible mechanisms causing both pathological processes are considered.
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
January 2016,
Revue neurologique,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
January 2020,
Annals of Indian Academy of Neurology,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
September 2014,
Pediatric neurology,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
September 2008,
Acta neurologica Taiwanica,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
January 2015,
Neurology India,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
April 2010,
Journal of neurology,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
January 2020,
Revue neurologique,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
December 2020,
Practical neurology,
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
January 2017,
Internal medicine (Tokyo, Japan),
V V Gudkova, and
T V Shanina, and
E I Kimelfeld, and
K A Salimov, and
M A Orekhova, and
E V Fedotov, and
L V Stakhovskaya
October 2016,
Neurologia (Barcelona, Spain),
