POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME DURING ATYPICAL PREECLAMPSIA AND ECLAMPSIA


Дәйексөз келтіру

Толық мәтін

Ашық рұқсат Ашық рұқсат
Рұқсат жабық Рұқсат берілді
Рұқсат жабық Рұқсат ақылы немесе тек жазылушылар үшін

Аннотация

Background. The lack of a downward trend in the incidence of preeclampsia and eclampsia, as well as a larger number of patients with atypical preeclampsia necessitate the identification of objective criteria for evaluating the severity and reversibility of central nervous system lesions in this disease. Case description. The paper describes a clinical case of a patient who had an attack of postpartum eclampsia with the development of posterior reversible encephalopathy syndrome, as evidenced by magnetic resonance imaging. The diagnosis of preeclampsia was first established at admission to maternity hospital. During therapy after the attack of eclampsia, convulsions did not recur and her status stabilized; repeated magnetic resonance imaging performed four days later showed a reversal of changes in the central nervous system. Magnetic resonance imaging carried out a month after childbirth revealed no abnormalities. Conclusion. If adequate treatment is performed in due time, the central nervous system changes accompanying eclampsia and manifesting as posterior reversible encephalopathy syndrome are reversible.

Толық мәтін

Рұқсат жабық

Авторлар туралы

R. SHALINA

Moscow 117997, Ostrovityanova str. 1, Russia

Email: raisa.shalina@gmail.com
MD, Professor of Obstetrics and Gynecology Department, Pediatric Faculty

M. KURTSER

Moscow 117997, Ostrovityanova str. 1, Russia

Email: m.kurtser@mcclinics.ru
MD, Corresponding Member of Russian Academy of Sciences, Professor, Department of Obstetrics and Gynecology, Pediatric Faculty

A. SHTABNITSKY

Perinatal Medical Center

Deputy Chief Physician for Anesthesiology and Intensive Care Moscow 117209, Sevastopolsky Prospect 24, bld. 1, Russia

M. KURGANSKAYA

Moscow 117997, Ostrovityanova str. 1, Russia

Email: msimuhina@gmil.com
clinical intern of the Department of Obstetrics and Gynecology, Pediatric Faculty

I. PLATITSYN

Lapino Clinical Hospital

Email: dr.platt@mail.ru
PhD, Head of the branch of beam diagnostics service Moscow region 143081, Odintsovo district, 1st Uspenskoe highway, Village Lapino, 111, Russia

Әдебиет тізімі

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  3. Sperling J.D., Dahlke J.D., Huber W.J., Sibai B.M. The role of headache in the classification and management of hypertensive disorders in pregnancy. Obstet. Gynecol. 2015; 126(2): 297-302.
  4. Staykov D., Schwab S. Posterior reversible encephalopathy syndrome. J. Intensive Care Med. 2012; 27(1): 11-24.
  5. Богданов Э.И., Хасанов И.А., Мамедов Х.И., Хасанов Д.М. Дифференциальная диагностика синдрома задней обратимой лейкоэнцефалопатии и инфарктов в бассейне задней мозговой артерии. Практическая медицина. 2012; 8-1: 10-2.
  6. Скворцова В.И., Губский Л.В., Мельникова Е.А. Синдром задней обратимой энцефалопатии. Журнал неврологии и психиатрии им. С.С. Корсакова. 2010; 110(5): 104-9

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