Reversible posterior leukoencephalopathy syndrome (RPLS) is an uncommon but distinctive clinicoradiological entity comprising of headache, seizures, visual disturbance, and altered mental function, in association with posterior cerebral white matter edema. With appropriate management, RPLS is reversible in the majority of cases. Previous reported associations of RPLS include hypertension, eclampsia, renal failure, and use of immunosuppressive drugs; reports in the adult hematology setting are rare. We report two cases of adults undergoing treatment for hematological malignancies who developed RPLS, and we emphasize the importance of early recognition and institution of appropriate management in reducing the risk of development of permanent neurological disability. Am.
respective fat percentage, 21.9 % (±4.6), 18.9 % (±5.4) and 19.5 % (±2.4), correlated significantly with the biggest waist circumference (p<0.01), and classified wrestlers as normal rather than overweight. The basic biochemical parameters ranged within normal levels, nevertheless urine specific gravity assigned good hydration status to 3 out of 21 athletes. Nutritional assessment showed that protein intake was 1.3g/kg for basketball players, 1.8g/kg for cyclists and 1.8g/kg for wrestlers, while carbohydrate intake was 4.1, 4.6 and 4.3g/kg respectively in daily basis, but even nil during training. Conclusions: Wrestlers, even though displaying high BMI, have fat percentage within normal range, indicative of increased muscle mass as compared with athletes of the other two categories. The findings also show that most athletes do not receive the adequate amount of fluids and carbohydrates and these practices may prove unfavorable to their performance.
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