Posterior reversible encephalopathy syndrome in the puerperium: a case report

后可逆性脑病综合征 医学 子痫 怀孕 病因学 子痫前期 皮质盲 儿科 麻醉 外科 内科学 磁共振成像 放射科 验光服务 失明 生物 遗传学
作者
Louise Dunphy,Trusha Kothari,Jonathan Ford
出处
期刊:Case Reports [BMJ]
卷期号:15 (1): e246570-e246570
标识
DOI:10.1136/bcr-2021-246570
摘要

Headache is a common presentation to the physician. Although most causes of a headache in pregnancy are benign, the pregnant woman is at risk of a life-threatening secondary headache such as eclampsia, venous sinus thrombosis or posterior reversible encephalopathy syndrome (PRES). Pregnancy and the puerperium are prothrombotic risk factors. Although the aetiology of PRES remains to be fully elucidated, hypertension with failed autoregulation results in brain oedema. An alternative hypothesis includes endothelial injury and hypoperfusion leading to an alteration in the integrity of the blood-brain barrier. It occurs in complex, systemic conditions such as pre-eclampsia, following bone marrow transplantation, chemotherapy, sepsis and autoimmune diseases. The most common clinical presentation is headache, altered alertness, seizures and visual disturbance such as hemianopia, visual neglect and cortical blindness. It can also develop in normotensive individuals. Symmetric vasogenic oedema in a watershed distribution involving the parieto-occipital regions are typically evident on MRI. Management is determined by the underlying aetiological risk factor. The authors present the case of a 32-year-old multiparous woman presenting with tonic-clonic seizures 16 days following an elective caesarean section. Her pregnancy was complicated by hypertension and headache. There was no history of pre-eclampsia. She required intubation and ventilation. The diagnosis of PRES was established on MRI. Early recognition and treatment provide a favourable prognosis as the clinical symptoms and imaging characteristics are reversible in a large cohort of affected individuals.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
ZM发布了新的文献求助10
刚刚
活力的青枫完成签到,获得积分10
1秒前
勤恳紫霜完成签到,获得积分10
1秒前
wjx关闭了wjx文献求助
2秒前
2秒前
莲枳榴莲完成签到,获得积分10
2秒前
3秒前
3秒前
5秒前
6秒前
wjx关闭了wjx文献求助
7秒前
7秒前
顾矜应助Eve采纳,获得10
7秒前
勤恳紫霜发布了新的文献求助10
7秒前
8秒前
大个应助农大彭于晏采纳,获得10
8秒前
Maisie发布了新的文献求助30
8秒前
无奈镜子发布了新的文献求助10
9秒前
9秒前
早茶可口完成签到,获得积分10
9秒前
所所应助shuo采纳,获得10
9秒前
一枝完成签到 ,获得积分10
10秒前
精明的沅应助mysci采纳,获得10
10秒前
wjx关闭了wjx文献求助
12秒前
weilai发布了新的文献求助10
12秒前
12秒前
14秒前
sail完成签到,获得积分10
14秒前
14秒前
脑洞疼应助ccq采纳,获得10
14秒前
eirainal001给eirainal001的求助进行了留言
15秒前
16秒前
wjx关闭了wjx文献求助
16秒前
shuo完成签到,获得积分10
16秒前
Ava应助花生什么树采纳,获得10
16秒前
领导范儿应助梅伊斯采纳,获得10
17秒前
Wei发布了新的文献求助10
18秒前
周军民完成签到,获得积分10
18秒前
不吃西瓜发布了新的文献求助10
18秒前
19秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3975378
求助须知:如何正确求助?哪些是违规求助? 3519775
关于积分的说明 11199621
捐赠科研通 3256067
什么是DOI,文献DOI怎么找? 1798124
邀请新用户注册赠送积分活动 877386
科研通“疑难数据库(出版商)”最低求助积分说明 806305