<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412018001200815</article-id>
<article-id pub-id-type="doi">10.24245/gom.v86i12.2343</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Encefalopatía posterior reversible durante el puerperio, secundaria a eclampsia. Reporte de dos casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Reversible posterior encephalopathy during puerperium secondary to eclampsia. Report of two cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torre-León]]></surname>
<given-names><![CDATA[Teresa de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda-Contreras]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gómez-Secundino]]></surname>
<given-names><![CDATA[Minerva]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nava-López]]></surname>
<given-names><![CDATA[Jorge Arturo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torre-León]]></surname>
<given-names><![CDATA[Marcelo Alejandro de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna y Olsen]]></surname>
<given-names><![CDATA[Eduardo Antonio de la]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Materno Celaya  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Materno Celaya  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Materno Celaya  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Materno Celaya  ]]></institution>
<addr-line><![CDATA[ Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2018</year>
</pub-date>
<volume>86</volume>
<numero>12</numero>
<fpage>815</fpage>
<lpage>822</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412018001200815&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412018001200815&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412018001200815&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES: El síndrome de encefalopatía posterior reversible es una alteración rara, que aparece en el tercer trimestre del embarazo y en el puerperio, asociada con preeclampsia-eclampsia y síndrome de Hellp. Los estudios de radioimagen son decisivos para establecer el diagnóstico y diferenciarlo de otros trastornos neurológicos, por su tratamiento y pronóstico diferentes.  CASOS CLÍNICOS: Reporte de dos casos de encefalopatía posterior reversible con factores de riesgo diferentes para su manifestación (choque séptico, insuficiencia orgánica múltiple y síndrome de preeclampsia-eclampsia). El diagnóstico se estableció con base en la enfermedad subyacente, la sospecha clínica y los hallazgos en la resonancia magnética. En ambos casos coincidió la mayor parte de los síntomas relacionados con eclampsia. El tratamiento oportuno y la corrección del desequilibrio hidroelectrolítico, ácido-base, sepsis y sobrecarga de volumen fueron decisivos para revertir el cuadro y prevenir la evolución del síndrome. El diagnóstico de encefalopatía posterior reversible se corroboró por estudios radiológicos. Las pacientes egresaron de cuidados intensivos con remisión completa del cuadro neurológico.  CONCLUSIONES: La prevalencia de encefalopatía posterior reversible en pacientes embarazadas es desconocida, su manifestación obedece a diferentes causas y las mujeres suelen recuperarse completamente; sin embargo, el diagnóstico y tratamiento deben individualizarse en cada caso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND: Reversible posterior encephalopathy syndrome is a rare entity. It occurs most frequently in the third trimester and puerperium, associated with cases of preeclampsia-eclampsia and Hellp's syndrome. Radioimage studies are basic for its diagnosis and must be differentiated from other neurological pathologies, due to its different treatment and prognosis.  CASES REPORT: This study presents two cases of reversible posterior encephalopathy syndrome with different risk factors for its presentation (septic shock, multiple organ failure and preeclampsia-eclampsia syndrome). The diagnosis is based on the underlying disease, clinical suspicion and magnetic resonance findings. In both cases, most of the symptoms related to eclampsia. The timely treatment and correction of fluid-electrolyte imbalance, acid-base, sepsis and volume overload are decisive in reversing the condition and preventing the evolution of the syndrome. The diagnosis of reversible posterior encephalopathy was corroborated by radiological studies. The patients withdrew from the care unit with complete remission of the neurological symptoms.  CONCLUSIONS: Reversible posterior encephalopathy is a rare entity, of unknown prevalence in the pregnant patient, which occurs for different reasons, with full recovery, but which requires a specific diagnosis and treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Encefalopatía posterior reversible]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia-eclampsia]]></kwd>
<kwd lng="es"><![CDATA[trastorno neurológico]]></kwd>
<kwd lng="es"><![CDATA[embarazo]]></kwd>
<kwd lng="en"><![CDATA[Reversible posterior encephalopathy]]></kwd>
<kwd lng="en"><![CDATA[Preeclampsia-eclampsia]]></kwd>
<kwd lng="en"><![CDATA[Nuerological patology]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
</kwd-group>
</article-meta>
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