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[bookpiofficial]

Atypical Post Partum Eclampsia and Posterior Reversible Encephalopathy Syndrome | Chapter 05 | Current Trends in Medicine and Medical Research Vol. 3

Pregnancy  induced Hypertension also  called as “Gestosis” plural “Gestoses” has a heterogeneous etiology.  A case  of  atypical eclampsia  with  seizures in  the  postpartum, that  required  intravenous Magnesium sulphate is described. The two proposed theories of etiopathogeniesis of cerebral edema, “Vasogenic  Theory” and  “Cytotoxic  theory” are  discussed.  The concept  of  “delta hypertension”  is emphasized.  Impaired fluid  mobilization,  decreased sodium  excretion  and imbalance between angiopoietic  factors  in the  post  partum period  is  discussed as  the  likely cause  of  post partum eclampsia. It can be concludedthat it is important to monitor blood pressure in the postpartum state. The patients  of  atypical postpartum  eclampsia  with PRES,  are  likely explained  by  hyper dynamic circulation,  delta  hypertension and  vasogenic  theory. PRES  is  reversible, has  classical  clinico-radiological features in MRI and has good prognosis with treatment.

Author(s) Details

Dr Nidhi Sharma

Department of Obstetrics and Gynaecology, Saveetha Medical College, India.

Dr Sasireka Manivel

Department of Obstetrics and Gynaecology, Saveetha Madical College, India.

Dr Kohila Kalimuthu

Department of Obstetrics and Gynaecology, Saveetha Medical College, India.

Dr. Shanthi Ethiraj

Department of Obstetrics and Gynaecology, Saveetha Medical College, India.

Dr K Aaarthi

Department of Obstetrics and Gynaecology, Saveetha Medical College, India.

Read full article: http://bp.bookpi.org/index.php/bpi/catalog/view/42/170/315-1

View Volume: https://doi.org/10.9734/bpi/ctmmr/v3

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