Dergiler / Bağcılar Tıp Bülteni / 2020 / Cilt: 5 - Sayı: 4

Posterior Reversible Encephalopathy Syndrome in Two Patients with Severe Preeclampsia

Şiddetli Preeklampsi Geçiren İki Hastada Posterior Reversible Ensefalopati Sendromu

Sayfa
224–229
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Prompt recognition and treatment of the syndrome after severe preeclampsia or eclampsia have major importance in order to prevent permanent damage to the brain.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Posterior reversible encephalopathy syndrome (PRES) is an entity that occurs due to vasogenic brain edema in predominantly posterior sections of the brain and is characterized by headache, altered mental status, vision loss or seizures.
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Temel Bulgular & Veri:In this report, we present two women who developed PRES secondary to severe hypertension in pregnancy.
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Sonuç & Katkı:Prompt recognition and treatment of the syndrome after severe preeclampsia or eclampsia have major importance in order to prevent permanent damage to the brain.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Posterior reversible encephalopathy syndrome (PRES) is an entity that occurs due to vasogenic brain edema in predominantly posterior sections of the brain and is characterized by headache, altered mental status, vision loss or seizures. In this report, we present two women who developed PRES secondary to severe hypertension in pregnancy. Our goal is to outline the clinical features of the disease, diagnostic methods, management, and maternal outcomes. The etiology of PRES may vary in a wide range including hypertension, kidney failure, preeclampsia/ eclampsia, collagen vascular diseases, and sepsis. Prompt recognition and treatment of the syndrome after severe preeclampsia or eclampsia have major importance in order to prevent permanent damage to the brain.

Abstract

Posterior reversibl ensefalopati sendromu (PRES), başağrısı, mental instabilite, görme kaybı, nöbetler ile karakterize, ağırlıklı olarak beynin başta oksipital lob olmak üzere posterior kısımlarını tutan vazojenik ödem durumudur. Etiyoloji hipertansiyon, böbrek yetmezliği, kollajen vasküler hastalıklar, sepsis, preeklampsi/eklampsi gibi durumları içeren geniş bir yelpazede olabilir. Beyinde kalıcı hasarı önlemek icin erken teşhis ve hızlı yönetim esastır. Bu olgu bildiriminde, sezaryenden 2 gün sonra şiddetli preeklampsi ve ardından HELLP sendromuna ilerleyen bir postpartum hasta ile eklampsi geçiren bir başka postpartum hastamızda gelişen PRES sendromunu ele almaktayız. Amacımız, PRES’nin klinik özelliklerini, diagnostik metodları, yönetimi ve maternal sonuçlarını ortaya koymaktır.

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Bu Makaleye Atıf Yap

DOĞAN, M., BAGHAKİ, S., TEKDOS, Y., DOĞAN, K. (2020). Posterior Reversible Encephalopathy Syndrome in Two Patients with Severe Preeclampsia. Bağcılar Tıp Bülteni, Cilt: 5 - Sayı: 4, 224–229. https://ajindex.com/articles/351105

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Kaynakça (8)

  1. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, Wang A, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med 1996;334:494-500
  2. Roth C, Ferbert A. The posterior reversible encephalopathy syndrome: what’s certain, what’s new? Pract Neurol 2011;11(3):136-144
  3. McKinney AM, Short J, Truwit CL, McKinney ZJ, Kozak OS, SantaCruz KS, et al. Posterior reversible encephalopathy syndrome: incidence of atypical regions of involve¬ment and imaging findings. AJR Am J Roentgenol 2007;189(4):904-912
  4. The Eclampsia Trial Collaborative Group. Which anticonvulsant for women with eclampsia? Evidence from the collaborative eclampsia trial. Lancet 1995;345:1455-1463
  5. Bartynski WS. Posterior reversible encephalopathy syndrome, part 2: controversies surrounding pathophysiology of vasogenic edema. AJNR 2008;29(6):1043-1049
  6. Schwartz RB, Feske SK, Polak JF, DeGirolami U, Iaia A, Beckner KM, et al. Preeclampsia-eclampsia: clinical and neuroradiographic correlates and insights into the pathogenesis of hypertensive encephalopathy. Radiology 2000;217(2):371-376
  7. Savvidou MD, Hingorani AD, Tsikas D, Frölich JC, Vallance P, Nicolaides KH. Endothelial dysfunction and raised plasma concentrations of asymmetric dimethylarginine in pregnant women who subsequently develop pre-eclampsia. Lancet 2003;361(9368):1511-1517
  8. Bartynski WS. Posterior reversible encephalopathy syndrome, Part 1: Fundamental imaging and clinical features. AJNR 2008;29(6):1036-1042