A Rare Cause of Visual Defect in a Postpartum Woman

Saifudeen, Abdulrahman; Mudasser, Sayed; Kottam, George; Sreekumar, Indulekha; Amin, N; din, Hafiz El

doi:10.5001/omj.2010.34

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…[11,16,17] DWI is useful in PRES because it can distinguish between vasogenic and cytotoxic edema. [10,12,13,16] Although MRI was recommended for this patient, was not done due to lack of funds.…”

Section: Discussionmentioning

confidence: 95%

“…Other well-recognized underlying causes associated with PRES include uremia, hemolytic-uremic syndrome, SLE, medications such as cyclosporine and tacrolimus, and chemotherapeutic agents such as cisplatin, interferon alpha, and intrathecal methotrexate. [9,10] Autoimmune connective tissue diseases, thrombotic thrombocytopenic purpura, HIV syndrome, acute intermittent porphyria, organ transplantation have also been reported. [5,11] The pathophysiology of PRES has been a source of extensive debate among many investigators; however, it is thought to be related to hypertension-induced uncontrolled vasospasm, coupled with autoregulatory failure, and endothelial cell dysfunction/injury leading to blood-brain barrier leakage, with resultant cortical and sub-cortical vasogenic edema.…”

Section: Discussionmentioning

confidence: 96%

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Posterior reversible encephalopathy syndrome in a adult female

et al. 2014

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Posterior reversible encephalopathy syndrome is a clinico-neuroradiologic diagnosis, with rapidly evolving neurologic condition, characterized by headache, confusion, altered mental status, seizures, cortical blindness, lethargy, stupor, and occasionally, focal neurological signs accompanied by a typical computed tomography or magnetic resonance imaging pattern. With early recognition and treatment, complete resolution of symptoms occurs. Typical imaging findings characteristically involve the white matter bilaterally in the parieto-occipital regions. Atypical imaging finding of contrast enhancement of lesion can occur, but is less common. A 20-year-old primiparous lady presented with posterior reversible encephalopathy syndrome. To the best of our knowledge, this is the first documented case in Nigeria. This case-report highlights the importance of recognizing the salient imaging features in this lethal but reversible entity with prompt management.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 96%

Posterior reversible encephalopathy syndrome in a adult female

et al. 2014

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Postpartum eclampsia with cerebral air embolism

Lynn

Yang

Wang

et al. 2013

Taiwanese Journal of Obstetrics and Gynecology

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Features of magnetic resonance imaging brain in eclampsia: clinicoradiologic correlation

Mubarak¹,

Idris²,

Hadi³

2012

RMI

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Objective: Eclampsia is a gestational hypertensive condition that typically occurs after 20 weeks of pregnancy and is characterized by hypertension, peripheral edema, proteinuria, and seizures. Magnetic resonance imaging (MRI) plays a vital role in the diagnosis and management of these patients, so it is essential to describe features of the brain MRI in these cases. Methods: MRI was performed on eleven consecutive patients with eclampsia. All patients underwent follow-up neurologic examinations until all symptoms resolved. Nine of those eleven patients underwent follow-up MRI. The clinical signs and symptoms were correlated with findings on initial and follow-up MRI. Results: MRI typically demonstrated bilateral hyperintense lesions on T2-weighted images and hypointense lesions on T1-weighted images without diffusion restriction. MRI abnormalities are most commonly located in the distribution of the posterior cerebral circulation mainly in occipital and parietal lobes, and are associated with visual disturbances and dizziness. Almost all lesions seen at MRI in patients with eclampsia were reversible in our series of patients. Conclusion: Involvement of the parietal and occipital lobes is common in patients with eclampsia, and the signal abnormalities on MRI are reversible if recognized and treated early.

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A Rare Cause of Visual Defect in a Postpartum Woman

Cited by 3 publications

References 15 publications

Posterior reversible encephalopathy syndrome in a adult female

Posterior reversible encephalopathy syndrome in a adult female

Postpartum eclampsia with cerebral air embolism

Features of magnetic resonance imaging brain in eclampsia: clinicoradiologic correlation

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