Postpartum blindness: Two cases
We present 2 cases, one eclamptic patient and one noneclamptic patient, of headache, cortical blindness, and seizures. Both patients demonstrated findings consistent with posterior leukoencephalopathy syndrome. Posterior leukoencephalopathy syndrome is a rapidly evolving neurologic condition that is...
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| Veröffentlicht in: | Annals of emergency medicine 2004-02, Vol.43 (2), p.243-246 |
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| container_title | Annals of emergency medicine |
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| creator | Chambers, Kimberly A Wayne Cain, Terry |
| description | We present 2 cases, one eclamptic patient and one noneclamptic patient, of headache, cortical blindness, and seizures. Both patients demonstrated findings consistent with posterior leukoencephalopathy syndrome. Posterior leukoencephalopathy syndrome is a rapidly evolving neurologic condition that is characterized by headache, nausea and vomiting, seizures, visual disturbances, altered sensorium, and occasionally focal neurologic deficits. Posterior leukoencephalopathy syndrome can be triggered by numerous conditions, including preeclampsia-eclampsia, and can be seen in the postpartum period. It is characterized predominately by white matter vasogenic edema of the occipital and posterior parietal lobes. This condition can be difficult to differentiate clinically from cerebral ischemia, and magnetic resonance imaging with diffusion-weighted imaging and apparent diffusion coefficient are needed to do so. In most cases of posterior leukoencephalopathy syndrome, the prognosis is excellent, with full resolution of symptoms. |
| doi_str_mv | 10.1016/S0196-0644(03)00633-4 |
| format | Article |
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Both patients demonstrated findings consistent with posterior leukoencephalopathy syndrome. Posterior leukoencephalopathy syndrome is a rapidly evolving neurologic condition that is characterized by headache, nausea and vomiting, seizures, visual disturbances, altered sensorium, and occasionally focal neurologic deficits. Posterior leukoencephalopathy syndrome can be triggered by numerous conditions, including preeclampsia-eclampsia, and can be seen in the postpartum period. It is characterized predominately by white matter vasogenic edema of the occipital and posterior parietal lobes. This condition can be difficult to differentiate clinically from cerebral ischemia, and magnetic resonance imaging with diffusion-weighted imaging and apparent diffusion coefficient are needed to do so. In most cases of posterior leukoencephalopathy syndrome, the prognosis is excellent, with full resolution of symptoms.</description><identifier>ISSN: 0196-0644</identifier><identifier>EISSN: 1097-6760</identifier><identifier>DOI: 10.1016/S0196-0644(03)00633-4</identifier><identifier>PMID: 14747815</identifier><identifier>CODEN: AEMED3</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Anesthesia. Intensive care medicine. Transfusions. 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Both patients demonstrated findings consistent with posterior leukoencephalopathy syndrome. Posterior leukoencephalopathy syndrome is a rapidly evolving neurologic condition that is characterized by headache, nausea and vomiting, seizures, visual disturbances, altered sensorium, and occasionally focal neurologic deficits. Posterior leukoencephalopathy syndrome can be triggered by numerous conditions, including preeclampsia-eclampsia, and can be seen in the postpartum period. It is characterized predominately by white matter vasogenic edema of the occipital and posterior parietal lobes. This condition can be difficult to differentiate clinically from cerebral ischemia, and magnetic resonance imaging with diffusion-weighted imaging and apparent diffusion coefficient are needed to do so. In most cases of posterior leukoencephalopathy syndrome, the prognosis is excellent, with full resolution of symptoms.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anticonvulsants - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blindness, Cortical - etiology</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - pathology</subject><subject>Brain Diseases - complications</subject><subject>Brain Diseases - diagnosis</subject><subject>Brain Edema - diagnosis</subject><subject>Brain Edema - etiology</subject><subject>Diagnosis, Differential</subject><subject>Epilepsy, Tonic-Clonic - drug therapy</subject><subject>Epilepsy, Tonic-Clonic - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Puerperal Disorders - diagnosis</subject><subject>Puerperal Disorders - drug therapy</subject><subject>Radiography</subject><subject>Seizures - drug therapy</subject><subject>Seizures - etiology</subject><issn>0196-0644</issn><issn>1097-6760</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0ElLxEAQhuFGFGdcfoI6F0UP0eo1aS8igxsMKDiem053BVqyjOlE8d-bWdRTXR4KvpeQIwqXFKi6egWqVQJKiHPgFwCK80RskTEFnSYqVbBNxn9kRPZifAcALRjdJSMqUpFmVI7JyUsTu4Vtu76a5GWofY0xXk_mX83E2YjxgOwUtox4uLn75O3-bj59TGbPD0_T21mCTPMusT5T6J0qhACJXDrJqHSZVsIXMheYa8uYAAZKcwtO5cIBLXKdOaspyIzvk7P130XbfPQYO1OF6LAsbY1NH00GlHGu6QCPN7DPK_Rm0YbKtt_md9IATjfARmfLorW1C_HfSaHTNIXB3awdDrM-A7YmuoC1Qx9adJ3xTTAUzDK2WcU2y5IGuFnFNoL_ALvObW0</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>Chambers, Kimberly A</creator><creator>Wayne Cain, Terry</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20040201</creationdate><title>Postpartum blindness: Two cases</title><author>Chambers, Kimberly A ; Wayne Cain, Terry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e293t-ad86edc6f4405e35c5215c8964df5b4eb9a224020693a0c6b4c01fb98ca910583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anticonvulsants - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Blindness, Cortical - etiology</topic><topic>Brain - diagnostic imaging</topic><topic>Brain - pathology</topic><topic>Brain Diseases - complications</topic><topic>Brain Diseases - diagnosis</topic><topic>Brain Edema - diagnosis</topic><topic>Brain Edema - etiology</topic><topic>Diagnosis, Differential</topic><topic>Epilepsy, Tonic-Clonic - drug therapy</topic><topic>Epilepsy, Tonic-Clonic - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Puerperal Disorders - diagnosis</topic><topic>Puerperal Disorders - drug therapy</topic><topic>Radiography</topic><topic>Seizures - drug therapy</topic><topic>Seizures - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chambers, Kimberly A</creatorcontrib><creatorcontrib>Wayne Cain, Terry</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of emergency medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chambers, Kimberly A</au><au>Wayne Cain, Terry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postpartum blindness: Two cases</atitle><jtitle>Annals of emergency medicine</jtitle><addtitle>Ann Emerg Med</addtitle><date>2004-02-01</date><risdate>2004</risdate><volume>43</volume><issue>2</issue><spage>243</spage><epage>246</epage><pages>243-246</pages><issn>0196-0644</issn><eissn>1097-6760</eissn><coden>AEMED3</coden><abstract>We present 2 cases, one eclamptic patient and one noneclamptic patient, of headache, cortical blindness, and seizures. Both patients demonstrated findings consistent with posterior leukoencephalopathy syndrome. Posterior leukoencephalopathy syndrome is a rapidly evolving neurologic condition that is characterized by headache, nausea and vomiting, seizures, visual disturbances, altered sensorium, and occasionally focal neurologic deficits. Posterior leukoencephalopathy syndrome can be triggered by numerous conditions, including preeclampsia-eclampsia, and can be seen in the postpartum period. It is characterized predominately by white matter vasogenic edema of the occipital and posterior parietal lobes. This condition can be difficult to differentiate clinically from cerebral ischemia, and magnetic resonance imaging with diffusion-weighted imaging and apparent diffusion coefficient are needed to do so. In most cases of posterior leukoencephalopathy syndrome, the prognosis is excellent, with full resolution of symptoms.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>14747815</pmid><doi>10.1016/S0196-0644(03)00633-4</doi><tpages>4</tpages></addata></record> |
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| ispartof | Annals of emergency medicine, 2004-02, Vol.43 (2), p.243-246 |
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| subjects | Adolescent Adult Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anticonvulsants - therapeutic use Biological and medical sciences Blindness, Cortical - etiology Brain - diagnostic imaging Brain - pathology Brain Diseases - complications Brain Diseases - diagnosis Brain Edema - diagnosis Brain Edema - etiology Diagnosis, Differential Epilepsy, Tonic-Clonic - drug therapy Epilepsy, Tonic-Clonic - etiology Female Humans Intensive care medicine Magnetic Resonance Imaging Medical sciences Puerperal Disorders - diagnosis Puerperal Disorders - drug therapy Radiography Seizures - drug therapy Seizures - etiology |
| title | Postpartum blindness: Two cases |
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