Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission
Yıl: 2019 Cilt: 6 Sayı: 3 Sayfa Aralığı: 168 - 171 Metin Dili: İngilizce DOI: 10.4274/cayd.galenos.2018.26928 İndeks Tarihi: 24-10-2020
Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission
Öz: 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.
Anahtar Kelime: Ergen Gebede Başlangıçta Hipertansiyonu Olmadan Eklampsi ile İlişkili Posterior Reversible Lökoensefalopati Sendromu
Öz: 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.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
- 1. Hinchey J, Chaves C, Appignani B, Breen J, Pao L, et al. A reversible posterior leukoencephalopathy syndrome. N Engl J Med. 1996;334:494-500.
- 2. Schwartz RB, Feske SK, Polak JF, DeGirolami U, Iaia A, et al. Preeclampsia-eclampsia: clinical and neuroradiographic correlates and insights into the pathogenesis of hypertensive encephalopathy. Radiology. 2000;217:371-6.
- 3. Sesar A, Cavar I, Sesar AP, Sesar I. Transient cortical blindness in posterior reversible encephalopathy syndrome after postpartum eclampsia. Taiwan J Ophthalmol. 2018;2:111-4.
- 4. Cozzolino M, Bianchi C, Mariani G, Marchi L, Fambrini M, et al. Therapy and differential diagnosis of posterior reversible encephalopathy syndrome (PRES) during pregnancy and postpartum. Arch Gynecol Obstet. 2015;6:1217-23.
- 5. Acar H, Acar K. Posterior reversible encephalopathy syndrome in a pregnant patient without eclampsia or preeclampsia: A case report. Am J Emerg Med. 2018;18:30454-6.
- 6. Chen Z, Zhang G, Lerner A, Wang AH, Gao B, et al. Risk factors for poor outcome in posterior reversible encephalopathy syndrome: systematic review and meta-analysis. Quant Imaging Med Surg. 2018;4:421-32.
- 7. Lio CF, Lee YH, Chan HY, Yu CC, Peng NJ, et al. Posterior reversible encephalopathy syndrome in a postpartum hemorrhagic woman without hypertension: A case report. Medicine (Baltimore). 2017;96:e6690.
- 8. Paulson OB, Strandgaard S, Edvinsson L. Cerebral autoregulation. Cerebrovasc Brain Metab Rev. 1990;2:161-92.
- 9. Olaya-Garay SX, Velásquez-Trujillo PA, Vigil-De Gracia P. Blood pressure in adolescent patients with pre-eclampsia and eclampsia. Int J Gynaecol Obstet. 2017;138:335-9.
- 10. Mattar F, Sibai B. Eclampsia VIII. Risk factors for maternal morbidity. Am J Obstet Gynecol 2000;182:307-12.
- 11. Brosens I, Muter J, Gargett CE, Puttemans P, Benagiano G, et al. The impact of uterine immaturity on obstetrical syndromes during adolescence. Am J Obstet Gynecol. 2017;217:546-55.
- 12. Camara-Lemarroy CR, Escobedo-Zúñiga N, Villarreal-Garza E, García-Valadez E, Góngora-Rivera F, et al. Posterior reversible leukoencephalopathy syndrome (PRES) associated with severe eclampsia: Clinical and biochemical features. Pregnancy Hypertens. 2017;7:44-9.
- 13. Liman TG, Bohner G, Heuschmann PU, Scheel M, Endres M, et al. Clinical and radiological differences in posterior reversible encephalopathy syndrome between patients with preeclampsiaeclampsia and other predisposing diseases. Eur J Neurol. 2012;19:935-43.
- 14. Jones BV, Egelhoff JC, Patterson RJ. Hypertensive encephalopathy in children. AJNR Am J Neuroradiol. 1997;18:101-6.
| APA | Uysal G, TANRIDAN OKCU N, KUCUKBINGOZ E, KÜÇÜKBİNGÖZ Ç, Saygılı Yılmaz E (2019). Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. , 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| Chicago | Uysal Gulsum,TANRIDAN OKCU Nefise,KUCUKBINGOZ EMINE GULEN,KÜÇÜKBİNGÖZ ÇAĞATAY,Saygılı Yılmaz Esra Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. (2019): 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| MLA | Uysal Gulsum,TANRIDAN OKCU Nefise,KUCUKBINGOZ EMINE GULEN,KÜÇÜKBİNGÖZ ÇAĞATAY,Saygılı Yılmaz Esra Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. , 2019, ss.168 - 171. 10.4274/cayd.galenos.2018.26928 |
| AMA | Uysal G,TANRIDAN OKCU N,KUCUKBINGOZ E,KÜÇÜKBİNGÖZ Ç,Saygılı Yılmaz E Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. . 2019; 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| Vancouver | Uysal G,TANRIDAN OKCU N,KUCUKBINGOZ E,KÜÇÜKBİNGÖZ Ç,Saygılı Yılmaz E Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. . 2019; 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| IEEE | Uysal G,TANRIDAN OKCU N,KUCUKBINGOZ E,KÜÇÜKBİNGÖZ Ç,Saygılı Yılmaz E "Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission." , ss.168 - 171, 2019. 10.4274/cayd.galenos.2018.26928 |
| ISNAD | Uysal, Gulsum vd. "Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission". (2019), 168-171. https://doi.org/10.4274/cayd.galenos.2018.26928 |
| APA | Uysal G, TANRIDAN OKCU N, KUCUKBINGOZ E, KÜÇÜKBİNGÖZ Ç, Saygılı Yılmaz E (2019). Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. Çocuk Acil ve Yoğun Bakım Dergisi, 6(3), 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| Chicago | Uysal Gulsum,TANRIDAN OKCU Nefise,KUCUKBINGOZ EMINE GULEN,KÜÇÜKBİNGÖZ ÇAĞATAY,Saygılı Yılmaz Esra Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. Çocuk Acil ve Yoğun Bakım Dergisi 6, no.3 (2019): 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| MLA | Uysal Gulsum,TANRIDAN OKCU Nefise,KUCUKBINGOZ EMINE GULEN,KÜÇÜKBİNGÖZ ÇAĞATAY,Saygılı Yılmaz Esra Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. Çocuk Acil ve Yoğun Bakım Dergisi, vol.6, no.3, 2019, ss.168 - 171. 10.4274/cayd.galenos.2018.26928 |
| AMA | Uysal G,TANRIDAN OKCU N,KUCUKBINGOZ E,KÜÇÜKBİNGÖZ Ç,Saygılı Yılmaz E Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. Çocuk Acil ve Yoğun Bakım Dergisi. 2019; 6(3): 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| Vancouver | Uysal G,TANRIDAN OKCU N,KUCUKBINGOZ E,KÜÇÜKBİNGÖZ Ç,Saygılı Yılmaz E Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission. Çocuk Acil ve Yoğun Bakım Dergisi. 2019; 6(3): 168 - 171. 10.4274/cayd.galenos.2018.26928 |
| IEEE | Uysal G,TANRIDAN OKCU N,KUCUKBINGOZ E,KÜÇÜKBİNGÖZ Ç,Saygılı Yılmaz E "Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission." Çocuk Acil ve Yoğun Bakım Dergisi, 6, ss.168 - 171, 2019. 10.4274/cayd.galenos.2018.26928 |
| ISNAD | Uysal, Gulsum vd. "Posterior Reversible Leukoencephalopathy Syndrome Associated with Eclampsia in a Pregnant Adolescent Without Hypertension at Admission". Çocuk Acil ve Yoğun Bakım Dergisi 6/3 (2019), 168-171. https://doi.org/10.4274/cayd.galenos.2018.26928 |
