BINSWANGERS SYNDROME - A RARE CAUSE OF RA PID PROGRESSIVE PSYCHOSYNDROME AND COMA IN A YOUNG PATIENT

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 haemo rrhage 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 hyperten sion could be postulated. Therefore Binswanger's syndrome was diagnose d. This syndrome should be respected in differential diagnostic of rap id progressive psychosyndrome even in young patients.