Anesthetic Management of Posterior Reversible Encephalopathy Syndrome in a Patient with Eclampsia
نویسنده
چکیده
“Posterior reversible encephalopathy syndrome (PRES)” is a clinico radiological entity, the characteristic neuro-imaging features and non-specific symptoms including headache, confusion, visual disturbances and seizures. Vasogenic edema, which is the most probable underlying pathology results in detectable Parieto-occipital white matter changes in imaging. Vasogenic edematous changes of PRES are reported to be reversible with appropriate clinical management. Eclampsia is one of the underlying etiologies of PRES and prompt diagnosis and treatment of eclampsia are important as cerebrovascular damage caused by eclampsia may result in permanent neurologic sequelae. Termination of pregnancy by caesarean section is the mainstay in the management of PRES. Patients with eclampsia and PRES for caesarean section are a challenge to the anesthesiologist that involves management of airway, arterial oxygenation, control of blood pressure & seizure, hydration, correcting electrolyte disturbances and coagulopathy. This is a case report of anesthetic management of a pregnant woman with PRES due to eclampsia.
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Unexpected Maternal Convulsion: An Idiopathic Case of Posterior Reversible Encephalopathy Syndrome after Delivery
Posterior reversible encephalopathy syndrome (PRES) is associated with various clinical manifestations such as headache, blurred vision, confusion and tonic-clonic convulsion. Some of the predisposing factors for PRES include hypertensive encephalopathy, preeclampsia and eclampsia, lupus erythematosus, thrombotic thrombocytopenic purpura and long-term use of immunosuppressive drugs. This condit...
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