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Erschienen in: Archives of Gynecology and Obstetrics 3/2008

01.09.2008 | Case Report

Atypical case of reversible posterior leucoencephalopathy syndrome associated with puerperal HELLP syndrome

verfasst von: Wei-Xia Peng, Masako Nakaii, Takashi Matsushima, Hirobumi Asakura

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 3/2008

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Abstract

Reversible posterior lekoencephalopathy syndrome (RPLS) is usually reversible. However, permanent cerebral damage may result if diagnosis is delayed. White matter edema in the posterior cerebral hemispheres is typical on neuroimaging. A 36-year-old primigravid woman underwent induction of labor due to mild pregnancy-induced hypertension. At 5 h after delivery, she developed eclampsia seizures complicated by hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome. Magnetic resonance imaging showed high-density lesions in anterior regions without any abnormalities in posterior cerebral regions. Cases of postpartum RPLS without involvement of posterior brain regions after eclampsia complicated by HELLP syndrome are very rare. Patients with RPLS do not always show typical manifestations.
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Metadaten
Titel
Atypical case of reversible posterior leucoencephalopathy syndrome associated with puerperal HELLP syndrome
verfasst von
Wei-Xia Peng
Masako Nakaii
Takashi Matsushima
Hirobumi Asakura
Publikationsdatum
01.09.2008
Verlag
Springer-Verlag
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 3/2008
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-008-0578-7

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