Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report
Abstract Background Posterior reversible encephalopathy syndrome (PRES) is a rare neurological disorder with complex physiopathological mechanisms that have not been fully understood. Early identification is of great prognostic significance, of which the symptoms and radiological abnormalities can b...
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Neurology |
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| Online Access: | https://doi.org/10.1186/s12883-023-03068-y |
| _version_ | 1811165859306012672 |
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| author | Xuejing Yin Yu Duan Lifang Zhang Zhichao Feng Caixia Yin Sujie Zhu Jinhua Chen Xinsen Peng |
| author_facet | Xuejing Yin Yu Duan Lifang Zhang Zhichao Feng Caixia Yin Sujie Zhu Jinhua Chen Xinsen Peng |
| author_sort | Xuejing Yin |
| collection | DOAJ |
| description | Abstract Background Posterior reversible encephalopathy syndrome (PRES) is a rare neurological disorder with complex physiopathological mechanisms that have not been fully understood. Early identification is of great prognostic significance, of which the symptoms and radiological abnormalities can be completely reversed. If the diagnosis and treatment are delayed, ischemia and massive infarction may be developed in some patients. Posterior reversible encephalopathy syndrome (PRES) has been reported mainly in association with postpartum eclampsia, which have been rarely reported, while the association with hypothyroidism has not been reported at home or abroad. Case presentation Here we report on a pregnant 29-year-old with multipara and a chief complication of hypothyroidism. She presented in the emergency department with frequent attacks of severe headache symptoms resulting from reversible cerebral vasoconstriction syndrome (RCVS), accompanied with prenatal eclampsia. PRES was determined by radiological examination. Conclusion To the best of our knowledge, this is the first case of PRES complicated by hypothyroidism and prepartum eclampsia.Clinicians should be alert for the co-occurence of eclampsia, PRES, and RCVS when patients have convulsions after a typical throbbing headache. Moreover, regular monitoring of thyroid function during pregnancy should also occupy certain special attention. |
| first_indexed | 2024-04-10T15:43:21Z |
| format | Article |
| id | doaj.art-93b6b266d7544be18c4aaf060adb8119 |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-10T15:43:21Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-93b6b266d7544be18c4aaf060adb81192023-02-12T12:15:24ZengBMCBMC Neurology1471-23772023-02-012311610.1186/s12883-023-03068-yEclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case reportXuejing Yin0Yu Duan1Lifang Zhang2Zhichao Feng3Caixia Yin4Sujie Zhu5Jinhua Chen6Xinsen Peng7Department of Neurology, Changzhi Medical CollegeDepartment of Emergency Medicine, Changzhi People’s Hospital, The Affiliated Hospital of Shanxi Medical UniversityDepartment of Neurology, Changzhi People’s Hospital, The Affiliated Hospital of Shanxi Medical UniversityDepartment of Neurology, Changzhi Medical CollegeDepartment of Neurology, Shanxi Medical UniversityDepartment of Neurology, Changzhi Medical CollegeDepartment of Emergency Medicine, Changzhi People’s Hospital, The Affiliated Hospital of Shanxi Medical UniversityDepartment of Cardiovascular Medicine, Changzhi Medical CollegeAbstract Background Posterior reversible encephalopathy syndrome (PRES) is a rare neurological disorder with complex physiopathological mechanisms that have not been fully understood. Early identification is of great prognostic significance, of which the symptoms and radiological abnormalities can be completely reversed. If the diagnosis and treatment are delayed, ischemia and massive infarction may be developed in some patients. Posterior reversible encephalopathy syndrome (PRES) has been reported mainly in association with postpartum eclampsia, which have been rarely reported, while the association with hypothyroidism has not been reported at home or abroad. Case presentation Here we report on a pregnant 29-year-old with multipara and a chief complication of hypothyroidism. She presented in the emergency department with frequent attacks of severe headache symptoms resulting from reversible cerebral vasoconstriction syndrome (RCVS), accompanied with prenatal eclampsia. PRES was determined by radiological examination. Conclusion To the best of our knowledge, this is the first case of PRES complicated by hypothyroidism and prepartum eclampsia.Clinicians should be alert for the co-occurence of eclampsia, PRES, and RCVS when patients have convulsions after a typical throbbing headache. Moreover, regular monitoring of thyroid function during pregnancy should also occupy certain special attention.https://doi.org/10.1186/s12883-023-03068-yPosterior reversible encephalopathy syndromeEclampsiaHypothyroidismReversible cerebral vasoconstriction syndromeCase report |
| spellingShingle | Xuejing Yin Yu Duan Lifang Zhang Zhichao Feng Caixia Yin Sujie Zhu Jinhua Chen Xinsen Peng Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report BMC Neurology Posterior reversible encephalopathy syndrome Eclampsia Hypothyroidism Reversible cerebral vasoconstriction syndrome Case report |
| title | Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report |
| title_full | Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report |
| title_fullStr | Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report |
| title_full_unstemmed | Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report |
| title_short | Eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome–a case report |
| title_sort | eclampsia with hypothyroidism complicated with posterior reversible encephalopathy syndrome a case report |
| topic | Posterior reversible encephalopathy syndrome Eclampsia Hypothyroidism Reversible cerebral vasoconstriction syndrome Case report |
| url | https://doi.org/10.1186/s12883-023-03068-y |
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