Malignant PRES and RCVS after brain surgery in the early postpartum period.
Adult
Aphasia, Wernicke
/ physiopathology
Astrocytoma
/ diagnostic imaging
Brain Neoplasms
/ diagnostic imaging
Computed Tomography Angiography
Craniotomy
Decompressive Craniectomy
Female
Glasgow Coma Scale
Humans
Paresis
/ diagnostic imaging
Posterior Leukoencephalopathy Syndrome
/ diagnostic imaging
Postoperative Complications
/ diagnostic imaging
Pre-Eclampsia
/ physiopathology
Pregnancy
Puerperal Disorders
/ diagnostic imaging
Severity of Illness Index
Vasospasm, Intracranial
/ diagnostic imaging
Brain surgery
Craniectomy
PRES
Post partum
Pre-eclampsia
RCVS
Journal
Clinical neurology and neurosurgery
ISSN: 1872-6968
Titre abrégé: Clin Neurol Neurosurg
Pays: Netherlands
ID NLM: 7502039
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
15
04
2019
revised:
08
08
2019
accepted:
13
08
2019
pubmed:
31
8
2019
medline:
30
10
2020
entrez:
31
8
2019
Statut:
ppublish
Résumé
The management of women with brain tumors in the early post-partum period may be demanding as the patho-physiological changes that occur during pregnancy may also manifest in the early post-partum period. The aim of our paper is to report a case of late-onset post-partum pre-eclampsia after brain tumor surgery, complicated by posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS). Hemicraniectomy and intensive care management were necessary to obtain a favorable neurological outcome. The inherent literature on the subject is also analyzed through a systematic research. This is the first case of supratentorial decompressive hemicraniectomy in post-partum PRES, while there has been only one other case of posterior fossa decompression described in this cohort of patients. PRES and RCVS can complicate the neurosurgical management of women in the postpartum period. A careful evaluation of the clinical presentation is necessary as in some particular cases an aggressive medical and surgical treatment is required to obtain a favorable outcome.
Identifiants
pubmed: 31470358
pii: S0303-8467(19)30285-9
doi: 10.1016/j.clineuro.2019.105489
pii:
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
105489Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.