Erkoç Süheyla Karadağ, Kayacan Ülkü, Can Alper, Çöplüoğlu Halil Ertuğrul, Tosun Ali
Clinic of Anaesthesiology and Reanimation, Şanlıurfa Gynecology and Obstetrics Hospital, Şanlıurfa, Turkey.
Clinic of Radiology, Şanlıurfa Mehmet Akif İnan Training and Research Hospital, Şanlıurfa, Turkey.
Turk J Anaesthesiol Reanim. 2015 Apr;43(2):119-22. doi: 10.5152/TJAR.2014.88557. Epub 2015 Feb 5.
Hypertensive disorders of pregnancy are a major cause of maternal mortality and morbidity. Preeclampsia and eclampsia are among the most common causes of posterior reversible encephalopathy syndrome (PRES). Clinically, PRES is characterised by visual disturbances, headache, nausea, change in mental status and seizure. Although treatment of the underlying cause provides clinical and radiological healing, a delay in the diagnosis and treatment can result in permanent brain damage and death. The exact incidence of new-onset postpartum hypertension is difficult to ascertain. Women with mild hypertension are usually asymptomatic; therefore, patients either can not be diagnosed or are diagnosed with late complications. With this case, we would like to present a patient who had no diagnosis of maternal hypertension or preeclampsia-eclampsia during pregnancy but, after a postpartum seizure, was diagnosed with PRES.
妊娠期高血压疾病是孕产妇死亡和发病的主要原因。子痫前期和子痫是后部可逆性脑病综合征（PRES）最常见的病因。临床上，PRES的特征是视觉障碍、头痛、恶心、精神状态改变和癫痫发作。虽然针对潜在病因的治疗可实现临床和影像学上的康复，但诊断和治疗的延迟可能导致永久性脑损伤和死亡。新发产后高血压的确切发病率难以确定。轻度高血压女性通常无症状；因此，患者要么无法被诊断，要么被诊断为晚期并发症。在此病例中，我们将介绍一名在孕期未被诊断为孕产妇高血压或子痫前期-子痫，但在产后癫痫发作后被诊断为PRES的患者。
