Postpartum posterior reversible encephalopathy syndrome secondary to preeclampsia and cerebrospinal fluid leakage:A case report and literature review  

作　　者：Yu Wang Qing Zhang 

机构地区：[1]Department of Anesthesiology,Zhabei Central Hospital,Shanghai 200071,China

出　　处：《World Journal of Clinical Cases》2022年第28期10332-10338,共7页世界临床病例杂志

摘　　要：BACKGROUND Postpartum posterior reversible encephalopathy syndrome(PRES) is not uncommon.Its mechanisms and risk factors are not clear.CASE SUMMARY A 28-year-old woman underwent cesarean section but had inadvertent dural puncture during epidural anesthesia.To manage the symptoms of intracranial hypotension,crystalloid fluid was infused.However,the patient developed postpartum preeclampsia and PRES.The patient was treated with diazepam and dehydration therapy.The signs of cerebral lesions on magnetic resonance imaging disappeared on postpartum day 7.CONCLUSION Postpartum preeclampsia and PRES can develop concomitantly.Treating postdural puncture headaches with infusion of crystalloid fluid may precipitate the development of PRES.

关 键 词：Posterior reversible encephalopathy syndrome Dural puncture Intracranial hypotension Crystalloid fluid Case report 

分 类 号：R742[医药卫生—神经病学与精神病学]