Posterior reversible encephalopathy syndrome (PRES) caused by hypertensive encephalopathy and acute uremia in a parturient: a clinical case


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The paper describes a clinical case of posterior reversible encephalopathy syndrome (PRES) caused by hypertensive encephalopathy and acute uremia during labor. It is shown that magnetic resonance imaging used in clinical signs of preeclampsia or eclampsia can reveal central nervous system lesion, evaluate the severity of a lesion, and assess the need for urgent delivery, as well as objectively monitor convalescence and the efficiency of performed therapy in the postpartum period.

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作者简介

Victor Tyutyunnik

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: tioutiounnik@mail.ru
MD, the head

Nataliya Kan

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of Russia

Email: n_kan@oparina4.ru
MD, head of the obstetric observation department

Vladimir Bychenko

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: v_bychenko@oparina4.ru
researcher of the X-ray diagnostic radiology department

Elena Kulabukhova

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: e_kulabuhova@oparina4.ru
radiologist of the visual diagnostics department

Sergey Voevodin

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: s_voevodin@oparina4.ru
MD, head of the visual diagnostics department

Aleksey Anoshin

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a.s.anoshin.md@gmail.com
ICU doctor

参考

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  2. Сидорова И.С., Никитина Н.А Современный взгляд на проблему преэклампсии: аргументы и факты. Акушерство и гинекология. 2013; 5: 10-6.
  3. Queenan J.T., Spong C.Y., Lockwood C.J., eds. Queenan’s management of high-risk pregnancy: an evidence-based approach. 6th ed. Wiley-Blackwell; 2012. 504 p.
  4. Сухих Г.Т., Шифман Е.М., Тихова Г.П., Флока С.Е. Особенности МРТ-изображений головного мозга у больных с неврологическими осложнениями эклампсии: систематизированный обзор. Анестезиология и реаниматология. 2010; 6: 78-83.
  5. Goynumer G., Yucel N., Adali E., Tan T., Baskent E., Karadag C. Vascular risk in women with a history of severe preeclampsia. J. Clin. Ultrasound. 2013; 41(3): 145-50.
  6. Brennan L.J., Morton J.S., Davidge S.T. Vascular dysfunction in preeclampsia. Microcirculation. 2013; 20(6): 565-78.
  7. Borthen Ingrid, Gilhus Nils Erik. Obstetrical outcome and complications of pregnancy. In: Harden C.L., Thomas S., Tomson T., eds. Epilepsy in women. Published Online; 2013: 128-35.
  8. Osborn A.G., Salzman K.L., Barkovich A.G. Diagnostic imaging: brain. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2010: 10-3.

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