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2017, Number 2

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Med Crit 2017; 31 (2)

Reversible posterior encephalopathy syndrome in eclampsia in the Hospital Regional de Alta Especialidad de la Mujer de Tabasco, México

Morales MG, Acuña EAM, Padilla CRM, Martínez HCM, Hernández TMC

Language: Spanish
References: 14
Page: 60-64
PDF size: 209.96 Kb.


ABSTRACT

The syndrome of reversible posterior encephalopathy (PRES) presents neurological manifestations associated to transient hemispheric posterior cerebral edema, is related to the syndrome of preeclampsia-eclampsia.
Objective: To identify the incidence of PRES in patients with Eclampsia admitted to the ICU of the High Specialty Women’s Hospital and to compare the associated risk factors.
Material and methods: Observational, retrospective, analytical, cross-sectional and cohort study of patients admitted to the ICU with the diagnosis of Eclampsia of the Regional High Specialty Hospital from January 2010 to December 2015.
Results: The incidence was 57%. Significant maternal variables: age (p = 0.034) and number of seizures (p = 0.001), with a mean age of 20.4 ± 6.5 years. The headache was present in 91.5%. Eighty-five percent had antepartum eclampsia. The route of interruption was 77% by the abdominal route. The topography of the lesion was multifocal and bilateral, in the parietal and occipital lobe.
Conclusions: The incidence was 57%. A high-risk profile for PRES in patients with antepartum eclampsia, primigravidae, younger than 21 years, with a mean arterial pressure greater than 120 mmHg, and who have presented more than two seizures were established.


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