Korean J Obstet Gynecol.  2001 Aug;44(8):1553-1557.

A case of Hypertensive Encephalopathy after Postpartum Bleeding

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Dongguk University, Kyongju, Korea.
  • 2Department of Neurology, College of Medicine, Dongguk University, Kyongju, Korea.

Abstract

Hypertensive encephalpathy is defined as severe hypertension in association with headache, nausea and vomiting, visual disturbances, confusion, stupor and coma. The pathophysiological mechanism is incompletely understood and causing as a result of failure of the upper limit of cerebral vascular autoregulation. Magnetic resonance imaging shows a characteristics posterior leukoencephalopathy, predominantly affects the white matter of the parietal and occipital lobes. Hypertensive encephalopathy are potentially reversible with timely and appropriate treatment. We experienced a case of hypertensive encephalopathy after normal vaginal delivery and report this case with a brief review of the literatures.

Keyword

Hypertensive encephalopathy; Postpartum bleeding

MeSH Terms

Coma
Headache
Hemorrhage*
Homeostasis
Hypertension
Hypertensive Encephalopathy*
Leukoencephalopathies
Magnetic Resonance Imaging
Nausea
Occipital Lobe
Postpartum Period*
Rabeprazole
Stupor
Vomiting
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