| Reversible posterior leukoencephalopathy syndrome accompanying eclampsia: correct diagnosis using preoperative MRI. | |
| | |
MedLine Citation:
|
PMID: 22186037 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Reversible posterior leukoencephalopathy syndrome (RPLS) is characterized by clinical symptoms such as seizures, visual disturbance, and altered mental status. It also presents abnormal findings on computed tomography (CT) and magnetic resonance imaging (MRI) indicating cerebral edema in the white matter of the occipital, temporal, and parietal lobes. Both the clinical symptoms and abnormal imaging findings can be reversed by controlling blood pressure or treating the underlying condition including infection. This report describes a patient with RPLS that occurred secondary to eclampsia. A 26-year-old female, gravida 0 para 0, developed weakness and pain in her upper and lower extremities and gait disturbance during the 34th week of pregnancy, and severe pregnancy-induced hypertension near the end of the 37th week. On the first day of the 38th week, she developed constricted visual fields and complained of visual illusions. MRI revealed a high-signal-intensity area in the right occipital lobe. Immediately after MRI, the patient had a 10-sec tonic convulsion. Diagnosed with eclampsia, she underwent emergency cesarean section. MRI on the 2nd postoperative day showed that the high-signal-intensity area was slightly improved. Her visual illusions were diminished by the 4th postoperative day, and almost all subjective symptoms disappeared by the 7th postoperative day. The patient was discharged at 12th postoperative day. We recommend MRI not only for symptomatic patients with suspected RPLS, but also for asymptomatic patients with severe pregnancy-induced hypertension. If findings such as cerebral edema are observed on MRI, immediate delivery should be considered before eclamptic seizures or exacerbation of neurological symptoms. |
| | |
Authors:
|
Yuka Ekawa; Mitsuru Shiota; Takako Tobiume; Masao Shimaoka; Mitsuhiro Tsuritani; Yasushi Kotani; Yoshiaki Mizuno; Hiroshi Hoshiai |
Related Documents
:
|
21738117 - Fluorocholine (18f) and sodium fluoride (18f) pet/ct in the detection of prostate cance... 12620547 - Feasibility of proton chemical shift imaging with a stereotactic headframe. 21564557 - The value of non-echo planar (haste) diffusion-weighted mr imaging in the detection, lo... 16567487 - Parkinson disease: pattern of functional mr imaging activation during deep brain stimul... 16083207 - Magnetic resonace imaging study in major psychiatric disorders. 19375257 - Co-registered perfusion spect/ct: utility for prediction of improved postoperative outc... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Tohoku journal of experimental medicine Volume: 226 ISSN: 1349-3329 ISO Abbreviation: Tohoku J. Exp. Med. Publication Date: 2012 |
Date Detail:
|
Created Date: 2011-12-21 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0417355 Medline TA: Tohoku J Exp Med Country: Japan |
Other Details:
|
Languages: eng Pagination: 55-8 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Kinki University Faculty of Medicine. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Gastric Cancers Emerging after H. pylori Eradication Arise Exclusively from Non-Acid-Secreting Areas...
Next Document: Quantitative Microbial Risk Assessment for Escherichia coli O157 on Lettuce, Based on Survival Data ...