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皮质盲是子痫前期的一种罕见并发症。

Cortical blindness, a rare complication of pre-eclampsia.

作者信息

Llovera Ingrid, Roit Zhanna, Johnson Ashley, Sherman Lorne

机构信息

Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York 11030, USA.

出版信息

J Emerg Med. 2005 Oct;29(3):295-7. doi: 10.1016/j.jemermed.2005.03.008.

DOI:10.1016/j.jemermed.2005.03.008
PMID:16183449
Abstract

This is a case report of a previously undiagnosed pregnant teenager who presented to the emergency department with cortical blindness. She was found to be pre-eclamptic with the HELLP syndrome. She underwent immediate cesarean section, with delivery of a viable 32-week-old infant. Computed tomography and magnetic resonance imaging studies revealed abnormalities in the occipital lobes and a possible subarachnoid hemorrhage. Her vision improved immediately after the cesarean section, and returned to normal in a few days.

摘要

这是一例先前未被诊断出的怀孕青少年病例报告,该患者因皮质盲被送至急诊科。她被诊断为伴有HELLP综合征的子痫前期。她立即接受了剖宫产手术,产下一名存活的32周龄婴儿。计算机断层扫描和磁共振成像研究显示枕叶有异常以及可能存在蛛网膜下腔出血。剖宫产术后她的视力立即改善,并在数天内恢复正常。

相似文献

1
Cortical blindness, a rare complication of pre-eclampsia.皮质盲是子痫前期的一种罕见并发症。
J Emerg Med. 2005 Oct;29(3):295-7. doi: 10.1016/j.jemermed.2005.03.008.
2
Posterior leukoencephalopathy syndrome as a cause of reversible blindness during pregnancy.后部白质脑病综合征作为妊娠期可逆性失明的病因
J Obstet Gynaecol Res. 2007 Aug;33(4):539-42. doi: 10.1111/j.1447-0756.2007.00547.x.
3
Obstetrical anaesthesia for a parturient with preeclampsia, HELLP syndrome and acute cortical blindness.一位患有先兆子痫、HELLP综合征及急性皮质盲的产妇的产科麻醉
Can J Anaesth. 1998 May;45(5 Pt 1):452-9. doi: 10.1007/BF03012581.
4
[A case of transient cortical blindness due to reversible ischemic neurological deficit (RIND) after caesarean section under lumbar anesthesia].[一例腰麻下剖宫产术后因可逆性缺血性神经功能缺损(RIND)导致的短暂性皮质盲病例]
Masui. 1997 Aug;46(8):1122-6.
5
Transient cortical blindness in preeclampsia with indication of generalized vascular endothelial damage.先兆子痫伴全身性血管内皮损伤迹象的短暂性皮质盲
J Neuroophthalmol. 1998 Sep;18(3):163-5.
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Reversible cortical blindness in preeclampsia.子痫前期的可逆性皮质盲
Am J Ophthalmol. 2002 Dec;134(6):916-8. doi: 10.1016/s0002-9394(02)01753-1.
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[Cortical blindess as symptom of pre-eclampsia].
Rev Esp Anestesiol Reanim. 1998 May;45(5):198-200.
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[Changes in MR images in pre-eclampsia and eclampsia].[子痫前期和子痫的磁共振成像变化]
Z Geburtshilfe Neonatol. 2009 Feb;213(1):27-31. doi: 10.1055/s-0028-1119398. Epub 2009 Mar 3.
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Multidisciplinary Approach to Complicated Pregnancy.复杂妊娠的多学科治疗方法。
South Med J. 2017 Mar;110(3):154-160. doi: 10.14423/SMJ.0000000000000618.
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[A case of preeclampsia-eclampsia reversible posterior leukoencephalopathy syndrome].
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引用本文的文献

1
Hemolysis, Elevated Liver Enzymes, and Low Platelets, Severe Fetal Growth Restriction, Postpartum Subarachnoid Hemorrhage, and Craniotomy: A Rare Case Report and Systematic Review.溶血、肝酶升高和血小板减少、严重胎儿生长受限、产后蛛网膜下腔出血及开颅手术:一例罕见病例报告及系统评价
Case Rep Obstet Gynecol. 2017;2017:8481290. doi: 10.1155/2017/8481290. Epub 2017 Apr 16.
2
Acute cortical blindness caused by pre-eclampsia in the antepartum; posterior reversible encephalopathy syndrome (PRES).产前子痫前期所致急性皮质盲;后部可逆性脑病综合征(PRES)。
Afr Health Sci. 2015 Jun;15(2):705-8. doi: 10.4314/ahs.v15i2.51.