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Journals / Çocuk Acil ve Yoğun Bakım Dergisi / 2019 / Cilt: 6 - Sayı: 3

Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission

Ergen Gebede Başlangıçta Hipertansiyonu Olmadan Eklampsi ile İlişkili Posterior Reversible Lökoensefalopati Sendromu

Gülsüm UYSAL
Nefise TANRIDAN OKCU
Emine KÜÇÜKBİNGÖZ
Çağatay KÜÇÜKBİNFÖZ
Esra SAYGILI YILMAZ
Pages
168–171
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

PRES can be reversible with appropriatetreatment of the underlying cause.

📌 3 Key Takeaways

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Objective & Hypothesis:We report a 16-year-old primigravid Syrian patient at 30 weeksgestation who was admitted to the emergency room with tonic-clonicseizures and developed posterior reversible leukoencephalopathysyndrome (PRES) and eclampsia without high blood pressure.Diffusion-weighted magnetic resonance imaging showed PRES.Proteinuria 3+ was evidenced in catheterized urine specimen.
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Key Findings & Data:Anemergency cesarean section was immediately performed withpreliminary diagnosis of eclampsia with PRES.
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Conclusion & Impact:PRES can be reversible with appropriatetreatment of the underlying cause.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

We report a 16-year-old primigravid Syrian patient at 30 weeksgestation who was admitted to the emergency room with tonic-clonicseizures and developed posterior reversible leukoencephalopathysyndrome (PRES) and eclampsia without high blood pressure.Diffusion-weighted magnetic resonance imaging showed PRES.Proteinuria 3+ was evidenced in catheterized urine specimen. Anemergency cesarean section was immediately performed withpreliminary diagnosis of eclampsia with PRES. The patient was keptin the intensive care unit and administered appropriate medicine;after which her level of consciousness improved, all neuroimagingexaminations and laboratory tests returned normal. PRES may beassociated with pre-eclampsia or eclampsia. High blood pressuremay not always coexist with pre-eclampsia or eclampsia especiallyin pregnant adolescents. PRES can be reversible with appropriatetreatment of the underlying cause.

Özet

Acil servise tonik-klonik nöbetle başvuran ve hipertansiyon öyküsü olmayan posterior reversible ensefalopati sendromu (PRES) ve eklampsi gelişen, 16 yaşında Suriyeli 30 haftalık primigravid ergen gebeyi sunmaktır. Hasta tonik klonik nöbet ile acil servise getirildi. İlk değerlendirilme sonrasında 30 haftalık tek canlı gebeliği oldugu doğrulandı. Geliş tansiyon değeri 110/70 mmHg olarak değerlendirildi. Nörolojik görüntüleme için difüzyon ağırlıklı manyetik rezonans görüntüleme yapıldı ve PRES ile uyumlu bulgular rapor edildi. İdrarda 3+ proteinüri saptanması ve hastanın ajitasyonunun devam etmesi üzerine PRES eklampsi öntanısıyla acil sezaryen ile gebelik sonlandırıldı, yoğun bakıma transfer edildi. Hastanın yoğun bakım ve servis takipleri sırasında bilinci düzeldi, beyin görüntüleme ve laboratuvar testleri normale döndü, şifa ile taburcu edildi. PRES sendromu preeklampsi ve eklampsi ile eşlik edebilir. Ancak özellikle ergen gebelerde preeklampsi veya eklampsiye her zaman yüksek tansiyon eşlik etmeyebilir Bu hastalarda detaylı beyin görüntüleme ile PRES bulguları elde edilebilir. PRES altta yatan patolojinin uygun tedavisi ile tamamen geri döndürülebilir.

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Cite This Article

UYSAL, G., OKCU, N. T., KÜÇÜKBİNGÖZ, E., KÜÇÜKBİNFÖZ, Ç., YILMAZ, E. S. (2022). Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. Çocuk Acil ve Yoğun Bakım Dergisi, Cilt: 6 - Sayı: 3, 168–171. https://ajindex.com/articles/483799

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