Postpartum seizures with posterior reversible encephalopathy syndrome following cesarean delivery for triplets

Chhabra, Anita; Jagtap, Sheetal R

doi:10.4103/2249-4472.132830

Cited by 5 publications

(6 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…15 Study done by Shobhabembalgi, Fisher N et al and many case reports had reported incidence of PRES is more in postpartum period. 9,13,[16][17][18] In the present study group we observed the 73.3% and 26.7% of the patients had PRES during the antepartum and postpartum respectively and is similar to Manavi PJ study. 15 A study done by Brewer J reported that no significant difference between incidence of PRES in antepartum or postpartum eclamptic patients.…”

Section: Resultssupporting

confidence: 75%

“…8 Roth C had reported that PRES can develop without a significant elevation in blood pressure, like eclampsia can occur at blood pressure that that are considered as normal. 18,32 Mean BP of our patients with PRES (187/110) and were treated with IV labetalol, hydralazine and Nifidepine, this results are similar to Brewer J study where as Nelli et al and Wgners J have reported that the levels of blood pressure elevation were lower (peak SBP 173 mm Hg). 14,2,3 The control of seizure in eclamptic women is the main step of the treatment and Mgso4 is the drug of choice.…”

Section: Figure 2a 2b 2c and 2d: Mri Images Of One Of The Patients supporting

confidence: 79%

“…Theoretically, corticosteroids should reduce vasogenicedema. 18 Recent study done by Mayama et al showed that patient who received antenatal steroid to enhance lung maturation or for treatment for HELLP revealed faster normalization of central nervous system function in eclamptic patients with PRES. 6,19 In the present study even though patients received corticosteroids for the treatment or to enhance the lung maturity effect on recovery is not studied.…”

Section: Figure 2a 2b 2c and 2d: Mri Images Of One Of The Patients mentioning

confidence: 99%

See 2 more Smart Citations

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Karanth

Gonsalves

Sheela

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: PRES can be associated with number of medical conditions and was observed frequently in patients with preeclampsia and eclampsia. Neuroimaging is important for the diagnosis of PRES. Study was conducted to find out the maternal and perinatal outcome in patients with eclampsia complicated by posterior reversible encephalopathy syndrome (PRES).Methods: This is a retrospective study done at St. Johns Medical College Bangalore, between October 2013 and October 2016. We reviewed case records of all the patients with eclampsia who underwent neuro imaging studies and a diagnosis of PRES was made. The maternal and perinatal outcomes in these women were studiedResults: In the past three years we had 55 cases of eclampsia who underwent neuroimaging studies for persistent neurological symptoms after 24 hours of MgSO4 treatment. Of these women 30 were diagnosed to have PRES. In the present study PRES was common in multiparous women and more in patients with antepartum eclamptic women. Mean age at diagnosis of PRES was 26±5.1 years. Common presenting symptoms were headache (93.3%) and vomiting (53.3%). The mean SBP/DBP was 180/110 mmHg. All patients who had recurrent seizures were controlled with MgSO4 alone. 53.3% of our patients had eclampsia related complications and 36.7% required ICU care. There were 3 maternal deaths (10%). Perinatal mortality was 20%.Conclusions: Neuroimaging in eclamptic patients with persistent neurological symptoms could help in early diagnosis of PRES and multidisciplinary approach in management could contribute significantly in reducing the maternal mortality and morbidity.

show abstract

Section: Resultssupporting

confidence: 75%

Section: Figure 2a 2b 2c and 2d: Mri Images Of One Of The Patients supporting

confidence: 79%

Section: Figure 2a 2b 2c and 2d: Mri Images Of One Of The Patients mentioning

confidence: 99%

See 1 more Smart Citation

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Karanth

Gonsalves

Sheela

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…Late postpartum eclampsias are those that occur 48 hours after delivery and account for 5-26% of all eclampsia cases [5]. Posterior Reversible Encephalopathy Syndrome (PRES) is a usually reversible neurologic syndrome characterized by a variety of clinical features like headache, altered consciousness, visual disturbances and/or seizures [6][7][8][9] typically in a patient with new onset hypertension. PRES has been associated with preeclampsia-eclampsia and acute renal injury.…”

Section: Introductionmentioning

confidence: 99%

A Study of Eclampsia Cases Associated with Posterior Reversible Encephalopathy Syndrome

Bembalgi

Kamate

Shruthi

2015

JCDR

View full text Add to dashboard Cite

“…4 Diagnosis PRES membutuhkan piranti canggih CT-scan atau MRI. [4][5][6][7] PRES dapat merupakan kondisi tersendiri, maupun terkait eklampsia. 6,7 Penyebab kejang post partum yang lain yang patut mendapat perhatian adalah dural puncture.…”

Section: Pendahuluanunclassified

Kejang Post Partum di Rumah Sakit Tipe B: sebuah Manajemen Kasus Multidisiplin

Barata

Fitriati²,

Hisbullah

et al. 2021

JAOI

View full text Add to dashboard Cite

Kejang post partum masih merupakan kasus utama penyebab morbiditas dan mortalitas maternal diseluruh dunia. Diagnosis banding penyebab kejang antara lain kejang akut, gangguan metabolik, hipoglikemi dan hipo/hipernatremia, jejas otak traumatik, iskemia otak sesaat ataupun cerebrovasculair accident, perdarahan intrakranial, perdarahan subarachnoid, meningitis, ensefalitis, eklampsia, gejala akut kecanduan alkohol, gejala akut kecanduan benzodiazepine atau barbiturate, dural puncture, dan posterior reversible encephalopathy syndrome (PRES). Pada pasien ini terjadi kejang pada hari kedelapan post partum, dengan penyebab utama kejang berasal dari masalah kardiovaskular. Manajemen kejang pada pasien ini dimulai dengan upaya resusitasi cairan, dilanjutkan pengelolaan dukungan airway-breathing-circulation, dan kemudian penyingkiran kandidat diagnosis terhadap infeksi Covid-19, Mendelson syndrome, infeksi lain, gangguan keseimbangan elektrolit, dll. Kerjasama multidisiplin dokter spesialis sangat membantu pencapaian kesembuhan, meskipun masih perlu dilakukan pemeriksaan lanjutan terutama bila ada perencanaan kehamilan berikutnya.

show abstract

Postpartum seizures with posterior reversible encephalopathy syndrome following cesarean delivery for triplets

Cited by 5 publications

References 12 publications

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

Maternal and perinatal outcome in eclampsia complicated by posterior reversible encephalopathy syndrome; a three years’ experience in a tertiary care hospital

A Study of Eclampsia Cases Associated with Posterior Reversible Encephalopathy Syndrome

Kejang Post Partum di Rumah Sakit Tipe B: sebuah Manajemen Kasus Multidisiplin

Contact Info

Product

Resources

About