Atypical Post Partum Eclampsia and Posterior Reversible Encephalopathy Syndrome | Chapter 05 | Current Trends in Medicine and Medical Research Vol. 3
Pregnancy induced
Hypertension also called as
“Gestosis” plural “Gestoses” has a heterogeneous etiology. A
case of atypical
eclampsia with seizures
in the postpartum,
that required intravenous Magnesium sulphate is described.
The two proposed theories of etiopathogeniesis of cerebral edema, “Vasogenic Theory”
and “Cytotoxic theory”
are discussed. The
concept of “delta
hypertension” is emphasized. Impaired
fluid mobilization, decreased
sodium excretion and imbalance
between angiopoietic factors in
the post partum
period is discussed
as the likely
cause of post
partum eclampsia. It can be concludedthat it is important to monitor blood
pressure in the postpartum state. The
patients of atypical
postpartum eclampsia with
PRES, are likely
explained by hyper
dynamic circulation, delta hypertension
and vasogenic theory.
PRES is reversible,
has classical clinico-radiological features in MRI and has
good prognosis with treatment.
Author(s) Details
Dr Nidhi Sharma
Department of Obstetrics and
Gynaecology, Saveetha Medical College, India.
Dr Sasireka Manivel
Department of Obstetrics and
Gynaecology, Saveetha Madical College, India.
Dr Kohila Kalimuthu
Department of Obstetrics and
Gynaecology, Saveetha Medical College, India.
Dr. Shanthi Ethiraj
Department of Obstetrics and
Gynaecology, Saveetha Medical College, India.
Dr K Aaarthi
Department of Obstetrics and
Gynaecology, Saveetha Medical College, India.
Comments
Post a Comment