Document Detail

Acute cortical blindness in preeclampsia--a case of reversible posterior encephalopathy syndrome.
MedLine Citation:
PMID:  22880469     Owner:  NLM     Status:  In-Process    
BACKGROUND: Cortical blindness is one the most disturbing symptoms of reversible posterior encephalopathy syndrome in preeclamptic and eclamptic patients. The disease has been previously associated with a hypertensive breakthrough in the autoregulation of posterior cerebral arterioles followed by extravasation of the fluid into the brain tissue.
CASE: 22-year-old primigravida in the 39th week of gestation diagnosed with gestational diabetes mellitus presented with mild preeclampsia and was admitted to our hospital. Antihypertensive treatment was initiated. Her blood pressure remained between 120/80 to 140/90 mm Hg. Glucose levels were within acceptable range. Before the labor induction she developed acute cortical blindness. Magnetic resonance imaging showed vasogenic edema localized in occipital lobes. Cesarean section was performed and anti-edematous treatment initiated. Blindness resolved by the fifth day postpartum.
CONCLUSIONS: Reversible posterior encephalopathy developed in our patient in spite of normalized blood pressure that remained within autoregulation limits. Alternative pathogenesis and precipitating factors are discussed.
Leszek Mitas; Lech Rogulski
Related Documents :
8431299 - Changes in coronary vasodilatory reserve induced by pressure overload during post-natal...
7979679 - Ischemic preconditioning improves preservation with crystalloid cardioplegia.
16936909 - Effects of prenylated isoflavones osajin and pomiferin in premedication on heart ischem...
22743209 - Treatment of diastolic dysfunction in hypertension.
6687949 - Effect of molsidomine on spontaneous ventricular fibrillation following myocardial isch...
9011639 - Myocardial glycogen depletion cannot explain the cardioprotective effects of ischemic p...
15683589 - Hypertension, stroke, and endothelium.
7561529 - Analysis of aprotinin on the mean arterial pressure, carotid artery blood flow, and hin...
8158439 - Resistance vessel structure and the pathogenesis of hypertension.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ginekologia polska     Volume:  83     ISSN:  0017-0011     ISO Abbreviation:  Ginekol. Pol.     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-08-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0374641     Medline TA:  Ginekol Pol     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  469-72     Citation Subset:  IM    
Oddział Połozniczo-Ginekologiczny, Wojewódzki Szpital Specjalistyczny w Czestochowie, Polska.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  [Optimization of antibiotic therapy in pregnancy--clinical implications].
Next Document:  Contribution of maternal-fetal adrenomedullin polymorphism to gestational hypertension and preedlamp...