Posterior Reversible Encephalopathy Syndrome after Cesarean Section under Spinal Anesthesia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: S86-S90, 2007.
Artículo
en Inglés
| WPRIM
| ID: wpr-99005
ABSTRACT
A posterior reversible encephalopathy syndrome (PRES) is characterized as headache, altered mental function, seizure, and visual disturbances resulted from vasogenic edema in the brain. A 29-year-old normotensive parturient developed a postural headache two days after the cesarean section under spinal anesthesia. The headache was initially misdiagnosed as a postdural puncture headache (PDPH). The patient experienced generalized seizures four days after delivery. Her blood pressure increased to 170/100 mmHg with mild proteinuria. She developed homonymous hemianopsia two days after the seizures. MRI revealed high signal intensity areas in the posterior temporal, frontal, occipital and parietal white matter. Presuming a diagnosis of PRES, the patient was treated with magnesium sulfate, sodium valproate, and carbohydrate solutions. She was discharged without headache or neurologic deficit on postoperative day 13. When patients present a headache with focal neurological deficits or visual disturbances, the anesthesiologist must consider the possibility of PRES and aggressively treat based on the clinical presentation.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Proteinuria
/
Convulsiones
/
Presión Sanguínea
/
Encéfalo
/
Imagen por Resonancia Magnética
/
Cesárea
/
Hemianopsia
/
Ácido Valproico
/
Periodo Posparto
/
Diagnóstico
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Femenino
/
Humanos
/
Embarazo
Idioma:
Inglés
Revista:
Korean Journal of Anesthesiology
Año:
2007
Tipo del documento:
Artículo
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