Binswanger's syndrome - A rare cause of rapid progressive psychosyndrome and coma in a young patient.

Author(s): Muller, K. M., Malin, J. P.

Journal/Book: Nieren Hochdruck. 1996; 25: Bahnhofstrabe 9, Postfach 49, W-8024 Munchen-Deisenhofen, Germany. Dustri-Verlag Dr Karl Feistle. 108-110.

Abstract: A 35-year-old man developed rapid progressive psychosyndrome and coma over 3 weeks. There were no other neurological deficits. Seroscopy and cerebrospinal fluid examination revealed no signs of inflammation or intoxikation. In the further course of the disease intracerebral haemorrhage and sepsis occured. The patient died after 5 weeks. The autopsy revealed a subcortical necrotizing encephalopathy. With respect to a hypertrophy of the left ventricle anamnestic unknown arterial hypertension could be postulated. Therefore Binswanger's syndrome was diagnosed. This syndrome should be respected in differential diagnostic of rapid progressive psychosyndrome even in young patients.

Note: Article S Kotterba, Burkle Camp Pl 1, D-44789 Bochum, Germany

Keyword(s): binswanger's syndrome; progressive psychosyndrome in young patients; arterial hypertension

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