Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient
Objective: Posterior reversible encephalopathy syndrome (PRES) has been robustly associated with preeclampsia, hyperperfusion or endothelial dysfunction suggested as possible mechanisms. In this article, we report an illustrative case of this complication in a patient with risk factors for hyperten...
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Tehran University of Medical Sciences
2021-02-01
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doaj-be5e2e06b87045f484f8bb683e564cc12021-09-11T05:36:25ZengTehran University of Medical SciencesJournal of Family and Reproductive Health1735-89491735-93922021-02-0114410.18502/jfrh.v14i4.5211Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte RecipientJesús Garcia Castro0Jorge Rodríguez-Pardo1Javier Díaz de Terán2Department of Neurology, La Paz University Hospital, Madrid, SpainDepartment of Neurology, La Paz University Hospital, Madrid, SpainDepartment of Neurology, La Paz University Hospital, Madrid, Spain Objective: Posterior reversible encephalopathy syndrome (PRES) has been robustly associated with preeclampsia, hyperperfusion or endothelial dysfunction suggested as possible mechanisms. In this article, we report an illustrative case of this complication in a patient with risk factors for hypertensive disorders in pregnancy, including advanced maternal age and donor oocyte fertilization. Case report: We present a case of a 40-year-old pregnant, donor oocyte recipient with sudden decreased visual acuity accompanied by hypertension, proteinuria and tonic-clonic seizures. Magnetic resonance imaging (MRI) of the brain showed bilateral lesions in the parieto-occipital regions suggestive of vasogenic edema, leading us to suspect posterior reversible encephalopathy syndrome. The patient underwent an emergency cesarean section and labetalol and magnesium sulfate were administered intravenously. The neurological symptoms and radiological findings resolved following delivery and the patient’s blood pressure normalized, supporting the diagnosis of posterior reversible encephalopathy syndrome. Conclusion: Pregnancy by donor oocyte fertilization may entail a higher risk of eclampsia and associated posterior reversible encephalopathy syndrome. https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1532Oocyte DonationPosterior Reversible Encephalopathy SyndromeEclampsia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jesús Garcia Castro Jorge Rodríguez-Pardo Javier Díaz de Terán |
spellingShingle |
Jesús Garcia Castro Jorge Rodríguez-Pardo Javier Díaz de Terán Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient Journal of Family and Reproductive Health Oocyte Donation Posterior Reversible Encephalopathy Syndrome Eclampsia |
author_facet |
Jesús Garcia Castro Jorge Rodríguez-Pardo Javier Díaz de Terán |
author_sort |
Jesús Garcia Castro |
title |
Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient |
title_short |
Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient |
title_full |
Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient |
title_fullStr |
Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient |
title_full_unstemmed |
Eclampsia-Induced Posterior Reversible Encephalopathy Syndrome in a Donor Oocyte Recipient |
title_sort |
eclampsia-induced posterior reversible encephalopathy syndrome in a donor oocyte recipient |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Family and Reproductive Health |
issn |
1735-8949 1735-9392 |
publishDate |
2021-02-01 |
description |
Objective: Posterior reversible encephalopathy syndrome (PRES) has been robustly associated with preeclampsia, hyperperfusion or endothelial dysfunction suggested as possible mechanisms. In this article, we report an illustrative case of this complication in a patient with risk factors for hypertensive disorders in pregnancy, including advanced maternal age and donor oocyte fertilization.
Case report: We present a case of a 40-year-old pregnant, donor oocyte recipient with sudden decreased visual acuity accompanied by hypertension, proteinuria and tonic-clonic seizures. Magnetic resonance imaging (MRI) of the brain showed bilateral lesions in the parieto-occipital regions suggestive of vasogenic edema, leading us to suspect posterior reversible encephalopathy syndrome. The patient underwent an emergency cesarean section and labetalol and magnesium sulfate were administered intravenously. The neurological symptoms and radiological findings resolved following delivery and the patient’s blood pressure normalized, supporting the diagnosis of posterior reversible encephalopathy syndrome.
Conclusion: Pregnancy by donor oocyte fertilization may entail a higher risk of eclampsia and associated posterior reversible encephalopathy syndrome.
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topic |
Oocyte Donation Posterior Reversible Encephalopathy Syndrome Eclampsia |
url |
https://jfrh.tums.ac.ir/index.php/jfrh/article/view/1532 |
work_keys_str_mv |
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