A case of Hypertensive Encephalopathy after cesarean section.
- Author:
Dong Keum SONG
1
;
Keum Won KIM
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Konyang University, Daejeon, Korea. tgjes@hanmail.net
- Publication Type:Case Report
- Keywords:
Hypertension;
Leukoenencephalopathy;
Cesarean section
- MeSH:
Blood-Brain Barrier;
Brain;
Brain Edema;
Central Nervous System;
Cesarean Section*;
Consciousness;
Diagnosis;
Emergencies;
Female;
Headache;
Humans;
Hypertension;
Hypertension, Malignant;
Hypertensive Encephalopathy*;
Intracranial Pressure;
Leukoencephalopathies;
Magnetic Resonance Imaging;
Permeability;
Pre-Eclampsia;
Pregnancy;
Seizures
- From:Korean Journal of Obstetrics and Gynecology
2006;49(1):188-193
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hypertensive encephalopathy is usually defined as malignant hypertension associated with central nervous system abnormalities such as headache, seizure, hypertension, altered consciousness, increased intracranial pressure, and retinopathy. The pathogenesis of hypertensive encephalopathy is uncompletely understood, although it seems to be related to hypertensive cerebrovascular endothelial dysfunction, disruption of the blood-brain barrier with increased permeability, cerebral edema, and microhemorrhage formation. Magnetic resonance imaging shows a characteristic posterior leukoencephalopathy that predominantly affects the white matter of the parieto-occipital regions. Hypertensive encephalopathy is a rare manifestation of hypertensive emergency that requires proper diagnosis and management to avoid a irreversible brain damage. We report a patient who developed hypertensive encephalopathy after cesarean section without preeclampsia or chronic hypertension and a case presented with a brief review of the literatures.
