{"id":67,"date":"2025-09-26T07:11:17","date_gmt":"2025-09-25T22:11:17","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=67"},"modified":"2026-05-24T16:20:42","modified_gmt":"2026-05-24T07:20:42","slug":"post-67","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-67\/","title":{"rendered":"\u53ef\u9006\u6027\u5f8c\u982d\u8449\u767d\u8cea\u8133\u75c7\uff08PRES\uff1aPosterior Reversible Encephalopathy Syndrome\uff09\uff1a\u30b7\u30af\u30ed\u30b9\u30dd\u30ea\u30f3\u7531\u6765"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">35\u6b73\u7537\u6027\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">IgA\u814e\u75c7\u306b\u5bfe\u3057\u3066\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u65b9\u91dd\u3068\u306a\u308a\u30b7\u30af\u30ed\u30b9\u30dd\u30ea\u30f3\u306e\u6295\u4e0e\u30922\u9031\u9593\u524d\u306b\u958b\u59cb\u3057\u305f\u3070\u304b\u308a\u3060\u3063\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6628\u65e5\u304b\u3089\u932f\u4e71\u30fb\u773c\u306e\u304b\u3059\u307f\u30fb\u3051\u3044\u308c\u3093\u3092\u8a8d\u3081\u305f\u305f\u3081\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6765\u9662\u6642\u8840\u5727\u3001160\/80 mmHg<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8eab\u4f53\u6240\u898b\u3068\u3057\u3066\u306f\u50be\u7720\u50be\u5411\u3068\u8996\u529b\u4f4e\u4e0b\u304c\u8457\u660e\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u773c\u5e95\u691c\u67fb\u304c\u8fc5\u901f\u306b\u65bd\u884c\u3055\u308c\u3001\u6b63\u5e38\u3060\u3063\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u982d\u90e8MRI\u65bd\u884c\u3002T2\u5f37\u8abf\u50cf\u306b\u3066\u534a\u7403\u5206\u6c34\u754c\u30d1\u30bf\u30fc\u30f3\u3067\u76ae\u8cea\u304a\u3088\u3073\u76ae\u8cea\u4e0b\u306e\u767d\u8cea\u306b\u9ad8\u4fe1\u53f7\u304c\u793a\u3055\u308c\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"465\" height=\"294\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-8.png\" alt=\"\" class=\"wp-image-68\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-8.png 465w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-8-400x253.png 400w\" sizes=\"auto, (max-width: 465px) 100vw, 465px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">MRA\u3068\u8133\u9759\u8108\u9020\u5f71\u306f\u6b63\u5e38\u3067\u3042\u3063\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u4ee5\u4e0a\u3088\u308a\u8840\u7ba1\u539f\u6027\u6d6e\u816b\u3068\u4e00\u81f4\u3059\u308b\u30d1\u30bf\u30fc\u30f3\u3068\u5224\u65ad\u3057\u3001\u30b7\u30af\u30ed\u30b9\u30dd\u30ea\u30f3\u4f7f\u7528\u306b\u4f34\u3046PRES\uff08\u53ef\u9006\u6027\u5f8c\u982d\u8449\u767d\u8cea\u8133\u75c7\u75c7\u5019\u7fa4 Reversible posterior leukoencephalopathy\uff09\u3068\u8a3a\u65ad\u3057\u305f\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30b7\u30af\u30ed\u30b9\u30dd\u30ea\u30f3\u3092\u4e2d\u6b62\u3057\u30011\u9031\u9593\u5f8cMRI\u518d\u8a55\u4fa1\u3002\u6539\u5584\u304c\u78ba\u8a8d\u3055\u308c\u305f\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"226\" height=\"294\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2025\/09\/image-9.png\" alt=\"\" class=\"wp-image-69\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0PRES<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u53ef\u9006\u6027\u5f8c\u982d\u8449\u767d\u8cea\u8133\u75c7\u5019\u7fa4\u3068\u3044\u3046\u540d\u524d\u306b\u53cd\u3057\u3066\u5f8c\u982d\u8449\u306b\u3060\u3051\u8d77\u304d\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u3002\u982d\u75db\u3084\u3051\u3044\u308c\u3093\u3001\u610f\u8b58\u969c\u5bb3\u3092\u8d77\u3053\u3059\u3053\u3068\u304c\u7279\u5fb4\u3067\u3001\u9ad8\u8840\u5727\u6027\u8133\u75c7\u3084\u3001\u7523\u8925\u5b50\u7647\u3084\u514d\u75ab\u6291\u5236\u5264\u306e\u4f7f\u7528\u3092\u80cc\u666f\u306b\u53ef\u9006\u7684\u3067\u7279\u5fb4\u7684\u306a\u75c7\u72b6\uff08\u982d\u75db\u30fb\u3051\u3044\u308c\u3093\u30fb\u610f\u8b58\u969c\u5bb3\uff09\u3092\u5448\u3059\u308bMRI\u3067\u767d\u8cea\u306bT2\u5f37\u8abf\u50cf\u306b\u3066\u767d\u8cea\u306b\u9ad8\u4fe1\u53f7\u3092\u5448\u3059\u308b\u3053\u3068\u304c\u5b9a\u7fa9\u3002\u539f\u56e0\u9664\u53bb\u3067\u57fa\u672c\u7684\u306b\u6539\u5584\u3059\u308b\u3002<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\">N Engl J Med 2023; 388:e75<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">DOI: 10.1056\/NEJMicm2213584<\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">PRES\u306b\u3064\u3044\u3066\u306e\u89e3\u8aac\u306f\u3053\u3061\u3089\u3078\u3069\u3046\u305e<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"ZYXeXx8sqq\"><a href=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4528\/\">\u30b7\u30af\u30ed\u30b9\u30dd\u30ea\u30f3\u3067\u8d77\u3053\u308b\u300cPRES\uff08\u53ef\u9006\u6027\u5f8c\u982d\u8449\u767d\u8cea\u8133\u75c7\uff09\u300d\u3068\u306f\uff1f\uff1a\u8996\u754c\u306e\u7570\u5e38\u30fb\u982d\u75db\u30fb\u3051\u3044\u308c\u3093\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u306a\u201c\u8133\u306e\u526f\u4f5c\u7528\u201d\u3092\u89e3\u8aac\u3010\u67cf\u30fb\u6211\u5b6b\u5b50\u306e\u30ea\u30a6\u30de\u30c1\u30fb\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u3011<\/a><\/blockquote><iframe loading=\"lazy\" class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; 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