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Medicina crítica (Colegio Mexicano de Medicina Crítica)
versão impressa ISSN 2448-8909
Resumo
MORALES MUNOZ, Gustavo et al. Reversible posterior encephalopathy syndrome in eclampsia in the Hospital Regional de Alta Especialidad de la Mujer de Tabasco, México. Med. crít. (Col. Mex. Med. Crít.) [online]. 2017, vol.31, n.2, pp.60-64. ISSN 2448-8909.
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.
Palavras-chave : Reversible posterior encephalopathy; eclampsia; pregnancy.
