Antepartum eclampsia with reversible cerebral vasoconstriction and posterior reversible encephalopathy syndromes.
antepartum
calcium channel blocker
eclampsia
posterior reversible encephalopathy syndrome
reversible cerebral vasoconstriction syndrome
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
16
07
2019
revised:
20
06
2020
accepted:
09
07
2020
pubmed:
12
8
2020
medline:
22
6
2021
entrez:
12
8
2020
Statut:
ppublish
Résumé
A 39-year-old pregnant woman was experienced thunderclap headache due to reversible cerebral vasoconstriction syndrome (RCVS) as a prodromal symptom. Two days after, she was brought to our hospital after an eclamptic seizure at 35 weeks of gestation. After management with magnesium sulphate, a cesarean delivery was performed, and passed without eclamptic seizure recurrence with calcium channel blocker (CCB) administration for hypertension and prophylaxis of another seizure. Antepartum eclampsia is sometimes complicated by headache as a prodromal symptom. Cerebrovascular diseases in the perinatal period include eclampsia, RCVS and posterior reversible encephalopathy syndrome, which have potentially overlapping pathologies. Here, we first report a case of overlapping those three diseases in the antepartum period. Our best literature review showed that antepartum RCVS is severe and has complications besides thunderclap headache, and there is a case report which CCB administration was shown to be effective in the treatment of antepartum RCVS. If thunderclap headache is recognized, prediction of eclampsia and getting better course of RCVS with CCB administration may be possible.
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2147-2152Informations de copyright
© 2020 Japan Society of Obstetrics and Gynecology.
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