A complex case of posterior reversible encephalopathy syndrome after combined spinal epidural of preeclampsia parturient: A case report.

IF 1.3 Q3 ANESTHESIOLOGY
Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI:10.4103/sja.sja_646_23
Min Hee Heo, Hwan Yong Choi, Kwanghyuk Lee, Ji Yeon Kim
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引用次数: 0

Abstract

Posterior reversible encephalopathy syndrome (PRES) is a disorder characterized by vasogenic edema affecting the posterior brain region. We report a case of PRES in a 36-year-old woman with preeclampsia who underwent an emergency cesarean section with spinal anesthesia. After surgery, she developed right leg weakness, headache, and seizures. Imaging showed white matter edema consistent with PRES. The exact cause of PRES is unclear, but elevated blood pressure and endothelial dysfunction are implicated. Tight blood pressure control in PRES is crucial for management, and prompt recognition and treatment are essential for favorable outcomes.

子痫前期产妇脊髓硬膜外联合术后出现后可逆性脑病综合征的复杂病例:病例报告。
后部可逆性脑病综合征(PRES)是一种以影响脑后部的血管源性水肿为特征的疾病。我们报告了一例患有先兆子痫的 36 岁女性,她在脊髓麻醉下接受了紧急剖宫产手术,术后出现右腿无力、头痛和癫痫发作。术后,她出现右腿无力、头痛和癫痫发作。造影显示白质水肿与 PRES 一致。PRES 的确切病因尚不清楚,但与血压升高和内皮功能障碍有关。严格控制血压是治疗 PRES 的关键,及时发现和治疗是获得良好预后的必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.90
自引率
8.30%
发文量
141
审稿时长
36 weeks
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