학술논문
A systematic review of posterior reversible encephalopathy syndrome in pregnant women with severe preeclampsia and eclampsia.
Document Type
Article
Author
Source
Subject
*ONLINE information services
*MEDICAL databases
*CINAHL database
*MEDICAL information storage & retrieval systems
*HYPERTENSIVE encephalopathy
*SYSTEMATIC reviews
*SEVERITY of illness index
*PREECLAMPSIA
*SYMPTOMS
*DESCRIPTIVE statistics
*POSTERIOR leukoencephalopathy syndrome
*MEDLINE
*POSTNATAL care
*DEATH
*ECLAMPSIA
*WOMEN'S health
*NEURORADIOLOGY
*CEREBRAL edema
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Language
ISSN
1753-495X
Abstract
Background: The association of posterior reversible encephalopathy syndrome (PRES) and severe preeclampsia/eclampsia has been established but the frequency is uncertain. Objectives: To determine the frequency of PRES in severe preeclampsia or eclampsia. Methods: We searched published articles in PubMed, Cochrane library, Embase, and CINAHL from 1990 to 2020. We included articles that reported on six or more cases of PRES with eclampsia or severe preeclampsia who underwent neuroimaging during pregnancy or up to 6 weeks postpartum. Results: We identified 29 studies presenting data on 1519 women with eclampsia or severe preeclampsia. Among 342 women with eclampsia who had neuroimaging, 176 (51.4%) were diagnosed with PRES. Of 121 women with severe preeclampsia, 24 (19.8%) had PRES. The pooled maternal death rate was 5.3% (21/395). Conclusion: PRES is commonly reported on neuroimaging of women with eclampsia/ severe preeclampsia. The role of neuroimaging in eclampsia and especially in women with severe preeclampsia requires re-evaluation as further management is often dictated by this finding. [ABSTRACT FROM AUTHOR]