Bin Zhang,1,2 Chunqing Bu,3 Yuying Zhao,4 Zhangyong Xia1,5– 7 

1Department of Neurology, Liaocheng People’s Hospital, Liaocheng, Shandong, People’s Republic of China; 2Department of Neurology, Qilu Hospital, Shandong University, Jinan, Shandong, People’s Republic of China; 3Department of MR, Liaocheng People’s Hospital, Liaocheng, Shandong, People’s Republic of China; 4Research Institute of Neuromuscular and Neurodegenerative Diseases and Department of Neurology, Qilu Hospital, Shandong University, Laboratory for Complex and Rare Neurological Disorders, Qilu Hospital, Shandong University, Jinan, Shandong, People’s Republic of China; 5Department of Neurology, Liaocheng People’s Hospital, Shandong University, Jinan, Shandong, People’s Republic of China; 6Department of Neurology, the Second People’s Hospital of Liaocheng, Liaocheng, Shandong, People’s Republic of China; 7State Key Laboratory of Dampness Syndrome of Chinese Medicine, Shandong Sub-Centre, Liaocheng, Shandong, People’s Republic of China

Correspondence: Zhangyong Xia, Department of Neurology, Liaocheng People’s Hospital, Shandong University, No. 67, West Dongchang Road, Liaocheng, Shandong Province, 252000, People’s Republic of China, Tel +86 13346257100, Email xiazhangyong2013@163.com

Abstract: Acute intermittent porphyria is a rare autosomal dominant metabolic disorder. It can affect the autonomic, peripheral, and central nervous system. The present study reports on the case of 28-year-old Chinese female patient with posterior reversible encephalopathy syndrome, reversible cerebral vasoconstriction syndrome and myocardial ischemia which have been very rarely reported in patients with acute intermittent porphyria.

Keywords: acute intermittent porphyria, epilepsy, posterior reversible encephalopathy syndrome, reversible cerebral vasoconstriction syndrome, myocardial ischemia