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产后头痛与癫痫持续状态;是后部可逆性脑病综合征还是脑静脉血栓形成?

Headache and status epilepticus in the postpartum period; posterior reversible encephalopathy syndrome or cerebral venous thrombosis?

作者信息

Zis Panagiotis, Tavernarakis Antonios

机构信息

Department of Neurology, Evangelismos General Hospital, 10676 Athens, Greece.

出版信息

Case Rep Emerg Med. 2013;2013:680327. doi: 10.1155/2013/680327. Epub 2013 Apr 24.

Abstract

We report a case of a young woman, with a history of a miscarriage and a molar pregnancy, who developed headache and status epilepticus in postpartum day three. Posterior reversible encephalopathy syndrome (PRES) and cerebral venous and sinus thrombosis (CVST) can present with identical clinical picture; however, the imaging findings can help the clinician to make the correct diagnosis and initiate the appropriate treatment. Both PRES and CVST are medical emergencies and fully reversible entities especially when treatment initiation is immediate.

摘要

我们报告了一例年轻女性病例,该患者有流产和葡萄胎妊娠史,产后第三天出现头痛和癫痫持续状态。后部可逆性脑病综合征(PRES)和脑静脉及窦血栓形成(CVST)可表现出相同的临床表现;然而,影像学检查结果有助于临床医生做出正确诊断并启动适当治疗。PRES和CVST均为医疗急症且是完全可逆的病症,尤其是在立即开始治疗的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ba5/3655452/9f6f28526cc5/CRIM.EM2013-680327.001.jpg

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