Gebelik ve Posterior Reversible Ensefalopati Sendromu: Olgu Sunumu ve Literatürün Gözden Geçirilmesi

Year 2021, Volume: 8 Issue: 3, 232 - 235, 28.12.2021

Gülsüm Saruhan Durmaz , Bergen Laleli , Ali Onur Arzık , Güray Koç

https://doi.org/10.47572/muskutd.844866

Abstract

Posterior revesible ensefalopati sendromu (PRES), nörolojik semptomlarla karakterize klinik ve radyolojik olarak geri dönüşümlü bir hastalıktır. Eklampsi, PRES’in nadir görülen nedenleri arasında yer almaktadır. Özellikle hipertansiyon ve proteinürisi olan gebelerde nöbetler görüldüğü zaman PRES ön tanıda düşünülmektedir. Hastanemize gebelik döneminde 3.trimesterde nöbet ile başvuran status epileptikus tanısı alan iki olguya sezaryen ile doğum yaptırılmış, antihipertansif ve antiepileptik tedavi verilmiştir. Bu dönemde yapılan nörolojik muayenelerinde bilinç bulanıklığı tespit edilmiş ve beyin MRG’leri PRES ile uyumlu saptanmıştır. Takiplerinde MRG lezyonları azalmış ve nöbet kontrolü sağlanmıştır. Bu yazıda eklampsi ve PRES birlikteliği olan iki olgunun sunulması ile, klinik ve radyolojik olarak PRES hastalığının literatür eşliğinde gözden geçirilmesi amaçlanmıştır. 

Keywords

Eklampsi, Magnezyum, Nöbet, Posterior Revesible Ensefalopati Sendromu

Posterior Reversible Encephalopathy Syndrome and Pregnancy: A Case Report and Review of the Literature

Abstract

Posterior reversible encephalopathy syndrome (PRES) characterized by neurological symptoms, is a clinically and radiologically reversible disease. Eclampsia is one of the rare causes of PRES. PRES is especially considered when seizures are seen in pregnant women with hypertension and proteinuria. Two patients, admitted to our hospital with seizures in the third trimester of pregnancy, were diagnosed with status epilepticus, antihypertensive and antiepileptic treatment were administered and delivered with cesarean section. Encephalopathy was detected in patients during this period, brain MRIs revealed PRES. After treatment, MRI lesions regressed and the seizures were taken under control. In this article, it is aimed to present two cases with eclampsia and PRES coexistence and review PRES disease clinically and radiologically.

Keywords

Eclampsia, Magnesium, Posterior Reversible Encephalopathy Syndrome, Seizure

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