Posteriora reversibla leikoencefalopātija grūtniecei
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Date
2021
Authors
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Journal ISSN
Volume Title
Publisher
Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Posteriorās reversiblās leikoencefalopātijas sindroms (PRES) ir sindroms, kam raksturīga subakūta neiroloģiska un radioloģiska atgriezeniska aina. Tas parādās vairāku cēloņu dēļ, kas veicina vazogēnu smadzeņu tūsku. Visizplatītākās klīniskās pazīmes ir galvassāpes, krampji, slikta dūša/vemšana, redzes izmaiņas, apziņas traucējumi un citi neiroloģiski simptomi, kas rodas pēc provocējoša faktora iedarbības, un var pilnībā izzust, ja provocējošais faktors tiek izslēgts.
32 gadus veca grūtniece (II progresējoša grūtniecība 17 + 4 nedēļas) tika hospitalizēta neatliekamās palīdzības centrā ar sūdzībām par vieglām galvassāpēm labajā pusē, redzes miglošanās un redzes zudumu kreisajā pusē, jušanas traucējumiem kreisajā ķermeņa pusē.
PRES ir reta slimība, kura ir grūti diagnosticējama, bet efektīvi ārstējama un neatstāj komplikācijas grūtniecei un auglim, ja diagnoze tiek uzstādīta pēc iespējas agrīnāk. PRES ir dzīvībai bīstams sindroms, kad ir nepieciešama akūta hospitalizācija, rūpīga somatiskā un neiroloģiskā stāvokļa izvērtēšana un novērošana, kā arī neatliekamā terapeitiskā iejaukšanās.
Posterior reversible encephalopathy syndrome (PRES) is a syndrome characterized by a subacute neurological and radiological reversible picture. It appears due to a number of causes that contribute vasogenic cerebral edema. The most common clinical signs are headache, convulsions, nausea/vomiting, changes in vision, impaired consciousness, altered mental status, and other neurological symptoms that develop after exposure to the provocative factor, and can disappear completely if the provocative factor is removed. A 32-year-old pregnant woman (II progressive pregnancy 17 + 4 weeks) was hospitalized in an emergency center with complaints of mild headaches on the right side, blurred vision and loss of vision on the left side, sensory disturbances on the left side of the body. PRES ir a rare disease and demonstrates, that it could be hard to diagnose it, but it could be successfully treated if diagnosis is confirmed as soon as possible with no complications for pacient an her pregnancy. PRES is a life threatening condition which requires extensive somatic evaluation, careful neurological function evaluation and monitoring and rapid treatment.
Posterior reversible encephalopathy syndrome (PRES) is a syndrome characterized by a subacute neurological and radiological reversible picture. It appears due to a number of causes that contribute vasogenic cerebral edema. The most common clinical signs are headache, convulsions, nausea/vomiting, changes in vision, impaired consciousness, altered mental status, and other neurological symptoms that develop after exposure to the provocative factor, and can disappear completely if the provocative factor is removed. A 32-year-old pregnant woman (II progressive pregnancy 17 + 4 weeks) was hospitalized in an emergency center with complaints of mild headaches on the right side, blurred vision and loss of vision on the left side, sensory disturbances on the left side of the body. PRES ir a rare disease and demonstrates, that it could be hard to diagnose it, but it could be successfully treated if diagnosis is confirmed as soon as possible with no complications for pacient an her pregnancy. PRES is a life threatening condition which requires extensive somatic evaluation, careful neurological function evaluation and monitoring and rapid treatment.
Description
Medicīna
Medicine
Veselības aprūpe
Health Care
Medicine
Veselības aprūpe
Health Care
Keywords
posteriora reversibla leikoencefalopātija, grūtniecība, jušanas traucejumi, hemianopsija, smadzeņu tūska, preeklampsija, reversibilitāte, posterior reversible encefalopathy, pregnancy, sensory disturbances, hemianopsia, cerebral edema, preeclampsia, reversibility