RESUMO
BACKGROUND: Late postpartum eclampsia is more frequently recognized than past reports indicate. This report describes the association of a reversible encephalopathy in a woman with late postpartum eclampsia. CASE: A woman with lupus nephritis presented 7 days postpartum with eclampsia. Postseizure findings included dramatic short-term memory loss. Although a computed tomography scan was negative, subsequent magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) demonstrated vascular changes associated with a reversible encephalopathy. Conservative treatment with analeptic and antihypertensive therapy allowed a rapid resolution of all symptomatology. CONCLUSION: In women with eclampsia and unusual neurologic findings, an MRI/MRA may be useful even in the presence of a negative computed tomography scan.
Assuntos
Eclampsia/diagnóstico , Transtornos da Memória/etiologia , Síndrome da Leucoencefalopatia Posterior/complicações , Síndrome da Leucoencefalopatia Posterior/diagnóstico , Transtornos Puerperais/diagnóstico , Adulto , Feminino , Humanos , Nefrite Lúpica/complicações , Angiografia por Ressonância Magnética , Imageamento por Ressonância Magnética , Transtornos da Memória/diagnóstico , Memória de Curto Prazo , GravidezRESUMO
BACKGROUND: The risk of stillbirth in fetuses diagnosed with gastroschisis may range from 6% to 12%. Currently there is no agreement on the role of antepartum fetal surveillance, as fetal death within days of reassuring antepartum fetal testing has been reported. CASES: In 2 cases of fetal gastroschisis, fetal gastric distension was associated with decreased fetal movements and nonreactive nonstress tests. Despite reassuring biophysical profile and normal umbilical artery Doppler sonograms, 1 fetus underwent intrauterine death. CONCLUSION: Poor prognostic factors in fetal gastroschisis may include a new finding of persistent fetal gastric distension in association with decreased fetal movements or a nonreactive nonstress test.
Assuntos
Gastrosquise/complicações , Gastrosquise/diagnóstico por imagem , Diagnóstico Pré-Natal , Adolescente , Adulto , Feminino , Morte Fetal , Sofrimento Fetal , Movimento Fetal , Humanos , Gravidez , Prognóstico , Estômago/diagnóstico por imagem , Estômago/embriologia , Estômago/patologia , Ultrassonografia Pré-NatalRESUMO
At 38 weeks of gestation, a woman with a previously unremarkable pregnancy was noted to have fetal tachycardia without obvious cause. Fetal echocardiography resulted in a presumptive diagnosis of fetal atrial flutter with a 2:1 block. The newborn resumed the same rhythm. The neonate underwent transesophageal incremental overdrive pacing. A normal sinus rhythm was restored. The infant had no recurrence to age 6 months.
Assuntos
Taquicardia Supraventricular/diagnóstico , Flutter Atrial/terapia , Estimulação Cardíaca Artificial , Feminino , Doenças Fetais/diagnóstico , Doenças Fetais/diagnóstico por imagem , Coração Fetal/diagnóstico por imagem , Humanos , Recém-Nascido , Taquicardia Supraventricular/diagnóstico por imagem , Ultrassonografia Doppler , Ultrassonografia Pré-NatalRESUMO
Variable decelerations of the fetal heart rate are the most common changes noted during continuous fetal monitoring. In general, they are presumed to represent a normal response to fetal baroceptor stimulation. When atypical features are present, other considerations are warranted.
