J Korean Neurol Assoc.  1998 Apr;16(2):241-244.

A Case of Porphyria with reversible MRI findings

Affiliations
  • 1Dept. of Neurology, Ulsan University, College of Medicine, Asan Medical Center.

Abstract

The porphyrias are inherited or acquired disorders of specific enzymes in the heme biosynthetic pathway. Porphyrias have diverse neurologic manifestations with unknown mechanism. Some authors have proposed ischemic vasculopathy as a cause of neurologic deficits, which was supported by reversible MRI lesions in porphyrias. We report a rare case with reversible MRI findings in porphyria. A 27-year-old woman was presented with seizures and hallucinations. MRI revealed multiple lesions of both hemispheres. After treatment, MRI lesions showed marked resolution of signal abnormalities.


MeSH Terms

Adult
Biosynthetic Pathways
Female
Hallucinations
Heme
Humans
Magnetic Resonance Imaging*
Neurologic Manifestations
Porphyrias*
Seizures
Heme
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