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产后早期子痫前期并发症之可逆性后部白质脑病综合征

Posterior reversible encephalopathy syndrome as a complication of pre-eclampsia in the early postpartum period.

作者信息

Verhaegen Julie, Peeters Frederik, Debois Patrick, Jacquemyn Yves

机构信息

Department of Obstetrics and Gynaecology, Universitair Ziekenhuis Antwerpen, Edegem, Belgium.

Department of Obstetrics and Gynaecology, Algemeen Ziekenhuis Klina, Brasschaat, Belgium.

出版信息

BMJ Case Rep. 2019 Jul 16;12(7):e228954. doi: 10.1136/bcr-2018-228954.

Abstract

We present the case of a 30-year-old woman with posterior reversible encephalopathy syndrome (PRES) as a complication of pre-eclampsia in the early postpartum period. PRES is a rare neurological disorder which causes non-specific neurological symptoms such as headache, seizures and visual disturbances. It generally has a good prognosis, but severe complications can arise. Therefore, early recognition and treatment are paramount. Pre-eclampsia is a multiorgan disease and is associated with both maternal and foetal morbidity and mortality. Neurological symptoms occurring in the postpartum period indicate pre-eclampsia until proven otherwise. This case report was written to stress the attention on this rare complication of pre-eclampsia. When a patient in the postpartum period presents with a combination of seizures, disturbed vision and headache, PRES should always be kept in mind.

摘要

我们报告了一例30岁女性,在产后早期出现先兆子痫并发症——后部可逆性脑病综合征(PRES)。PRES是一种罕见的神经系统疾病,可引起头痛、癫痫发作和视觉障碍等非特异性神经症状。它通常预后良好,但可能会出现严重并发症。因此,早期识别和治疗至关重要。先兆子痫是一种多器官疾病,与母婴发病率和死亡率均有关。产后出现的神经症状在排除其他病因之前提示为先兆子痫。本病例报告旨在强调对这种先兆子痫罕见并发症的关注。当产后患者出现癫痫发作、视力障碍和头痛的组合症状时,应始终考虑到PRES。

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