Long-Term Visual Functioning After Eclampsia

Wiegman, Marjon J.; Groot, Jan Cees de; Jansonius, Nomdo M.; Aarnoudse, Jan G.; Groen, Henk; Faas, Marijke M.; Zeeman, Gerda G.

doi:10.1097/aog.0b013e31824da5a8

Cited by 24 publications

(15 citation statements)

References 28 publications

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“…Three to eight months after severe pre‐eclampsia, women have measurably impaired memory which is unrelated to scores of depression, anxiety or attention . Women who have had eclampsia self‐report more cognitive failures and impaired vision several years after pregnancy compared to those women who had pre‐eclampsia or normal pregnancies …”

Section: Long‐term Consequencesmentioning

confidence: 99%

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Löwe

Bowyer

Lust

et al. 2015

Aust NZ J Obst Gynaeco

296

330

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This guideline is an evidence based, practical clinical approach to the management of Hypertensive Disorders of Pregnancy. Since the previous SOMANZ guideline published in 2008, there has been significant international progress towards harmonisation of definitions in relation to both the diagnosis and management of preeclampsia and gestational hypertension. This reflects increasing knowledge of the pathophysiology of these conditions, as well as their clinical manifestations. In addition, the guideline includes the management of chronic hypertension in pregnancy, an approach to screening, advice regarding prevention of hypertensive disorders of pregnancy, and discussion of recurrence risks and long term risk to maternal health. The literature reviewed included the previous SOMANZ Hypertensive Disorders of Pregnancy guideline from 2008 and its reference list, plus all other published National and International Guidelines on this subject. Medline, Cochrane Database of Systematic Reviews (CDSR), Cochrane Central Registry of Controlled Trials (CCRCT), National Institute for Health and Care Excellence (NICE) Evidence Search, and Database of Abstracts and Reviews of Effects (DARE) were searched for literature published between January 2007 and March, 2014.

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Section: Long‐term Consequencesmentioning

confidence: 99%

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Löwe

Bowyer

Lust

et al. 2015

Aust NZ J Obst Gynaeco

296

330

View full text Add to dashboard Cite

show abstract

“…it has been shown that, several years later, formerly preeclamptic and eclamptic women report cognitive failures related to memory, attention, and vision-related tasks of everyday life (Andersgaard et al, 2009;Aukes, Wessel, Dubois, Aarnoudse, & Zeeman, 2007;Postma, Bouma, Ankersmit, & Zeeman, 2014;Postma et al, 2013;Wiegman et al, 2012). In the literature, small studies evaluating neurocognitive test performance in preeclamptic women within 1.5 years following the index pregnancy have found impairment pertaining to auditory-verbal memory (Brussé, Duvekot, Jongerling, Steegers, & De Koning, 2008), speed of information processing (Digit Symbol Coding of Wechsler Adult Intelligence Scale-Third Edition, Dutch Version, WAIS-III-NL), and divided attention (Paced Auditory Serial Addition Test; Baecke, Spaanderman, & Van der Werf, 2009), but not on other cognitive tests.…”

mentioning

confidence: 99%

Cerebral white matter lesions, subjective cognitive failures, and objective neurocognitive functioning: A follow-up study in women after hypertensive disorders of pregnancy

Postma

Bouma

Groot

et al. 2016

Journal of Clinical and Experimental Neuropsychology

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Formerly (pre)eclamptic women report cognitive dysfunction, but do not exhibit overt cognitive impairment when objectively tested on average 6 years following their pregnancy. The presence of WML is not related to objective nor to subjective cognitive impairment, anxiety, and depressive symptoms. Longitudinal studies are needed to study whether the presence of WML is a risk factor for developing objective cognitive impairment in the long term.

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“…It is defined as new-onset hypertension combined with proteinuria after the 20th week of pregnancy. [7][8][9] Whether these symptoms are related to the PRES episode is unknown. Eclampsia is an acute cerebral complication of preeclampsia, defined as the occurrence of tonic-clonic seizures in pregnant or recently postpartum women.…”

Section: Background and Aimsmentioning

confidence: 99%

Long-term Consequences of the Posterior Reversible Encephalopathy Syndrome in Eclampsia and Preeclampsia

Postma¹,

Slager²,

Kremer³

et al. 2014

Obstetrical &Amp; Gynecological Survey

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This review summarizes the long-term consequences of the posterior reversible encephalopathy syndrome (PRES) that have been described in the obstetric literature (eclampsia and preeclampsia) and compares these with data from the nonobstetric literature. Preeclampsia is characterized by new-onset hypertension and proteinuria after the 20th week of pregnancy. Neurological symptoms include headache; visual deficits; confusion; seizures; and, in the most severe cases, intracranial hemorrhage. Eclampsia is an acute cerebral complication of preeclampsia, defined as the occurrence of tonic-clonic seizures in pregnant or recently postpartum women. With severe preeclampsia, in conjunction with neurological symptoms, or eclampsia, neuroimaging changes consistent with PRES can be seen. Posterior reversible encephalopathy syndrome is a specific clinicoradiological syndrome presenting with headaches, visual impairment, seizures, and altered mental status. Characteristic neuroimaging features are consistent with cerebral edema predominantly in the parietal and occipital lobes. In addition to preeclampsia/eclampsia, PRES has been associated with various conditions in the nonobstetric population, that is, severe hypertension, transplantation, or autoimmune disease, in combination with immunosuppressive therapy or high-dose chemotherapy for various malignant conditions. Long-term sequelae of both preeclampsia/eclampsia and other PRES-related conditions are poorly described. After eclampsia or preeclampsia, nonspecific white matter lesions may be found on magnetic resonance imaging, which may or may not be related to the PRES episode. Previously (pre)eclamptic women report cognitive failures; however, no neurocognitive impairment has been shown so far. Various nonobstetric PRES-related conditions have been described with long-term neuroimaging abnormalities as well as cognitive problems, epilepsy, or visual impairment. Although no firm conclusions can be drawn because of the heterogeneity of reported cases, some general comments can be made. Because most persistent long-term problems are present in the nonobstetric population, the main determinant for these long-term problems may be the underlying condition that gave rise to the PRES episode. In addition, most reports suggest that late diagnosis or inadequate therapy may contribute, emphasizing the need for early recognition, adequate treatment, follow-up, and support.

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Long-Term Visual Functioning After Eclampsia

Cited by 24 publications

References 28 publications

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

SOMANZ guidelines for the management of hypertensive disorders of pregnancy 2014

Cerebral white matter lesions, subjective cognitive failures, and objective neurocognitive functioning: A follow-up study in women after hypertensive disorders of pregnancy

Long-term Consequences of the Posterior Reversible Encephalopathy Syndrome in Eclampsia and Preeclampsia

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