PubMed:28422884 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PubMed/sourceid/28422884","sourcedb":"PubMed","sourceid":"28422884","text":"Posterior reversible encephalopathy syndrome in a postpartum hemorrhagic woman without hypertension: A case report.\nRATIONALE: Posterior reversible encephalopathy syndrome (PRES), which diagnosis is based on clinical symptoms and radiological features, is a neurotoxic disease characterized by a set of clinical manifestations, such as seizure, headache, visual, and/or consciousness disturbance. It is the first case of PRES followed by postpartum hemorrhage (PPH) without underlying disease.\nPATIENT CONCERNS: A 37-year-old healthy woman had PPH after caesarean section. Six days after delivery, headache occurred suddenly, followed by episodes of clonus seizure.\nDIAGNOSES: Brain computed tomography showed ischemic stroke. However, magnetic resonance imaging revealed characteristics consistent with PRES.\nINTERVENTIONS: The patient received phenytoin for seizure control.\nOUTCOMES: Seizure was under good control over the following days. Three months later, repeated magnetic resonance imaging showed complete remission.\nLESSONS: PRES may be triggered by PPH and is not necessarily secondary to typical predisposing factors such as hypertension or pre/eclampsia. Hormone fluctuation, increased blood pressure variation, and massive blood transfusion may be contributed to the development of PRES in our case. Also, it is necessary to rule out those life-threatening diseases, such as cavernoma hemorrhage, cerebral venous thrombosis, and ischemic stroke before the diagnosis of PRES.","tracks":[{"project":"PubCasesHPO","denotations":[{"id":"TI1","span":{"begin":21,"end":35},"obj":"HP:0001298"},{"id":"TI2","span":{"begin":87,"end":99},"obj":"HP:0000822"},{"id":"AB1","span":{"begin":336,"end":343},"obj":"HP:0001250"},{"id":"AB2","span":{"begin":345,"end":353},"obj":"HP:0002315"},{"id":"AB3","span":{"begin":598,"end":606},"obj":"HP:0002315"},{"id":"AB4","span":{"begin":650,"end":656},"obj":"HP:0002169"},{"id":"AB5","span":{"begin":657,"end":664},"obj":"HP:0001250"},{"id":"AB6","span":{"begin":710,"end":725},"obj":"HP:0002140"},{"id":"AB7","span":{"begin":860,"end":867},"obj":"HP:0001250"},{"id":"AB8","span":{"begin":887,"end":894},"obj":"HP:0001250"},{"id":"AB9","span":{"begin":1137,"end":1149},"obj":"HP:0000822"},{"id":"AB10","span":{"begin":1157,"end":1166},"obj":"HP:0100601"},{"id":"AB11","span":{"begin":1411,"end":1437},"obj":"HP:0005305"},{"id":"AB12","span":{"begin":1443,"end":1458},"obj":"HP:0002140"}],"attributes":[{"subj":"TI1","pred":"source","obj":"PubCasesHPO"},{"subj":"TI2","pred":"source","obj":"PubCasesHPO"},{"subj":"AB1","pred":"source","obj":"PubCasesHPO"},{"subj":"AB2","pred":"source","obj":"PubCasesHPO"},{"subj":"AB3","pred":"source","obj":"PubCasesHPO"},{"subj":"AB4","pred":"source","obj":"PubCasesHPO"},{"subj":"AB5","pred":"source","obj":"PubCasesHPO"},{"subj":"AB6","pred":"source","obj":"PubCasesHPO"},{"subj":"AB7","pred":"source","obj":"PubCasesHPO"},{"subj":"AB8","pred":"source","obj":"PubCasesHPO"},{"subj":"AB9","pred":"source","obj":"PubCasesHPO"},{"subj":"AB10","pred":"source","obj":"PubCasesHPO"},{"subj":"AB11","pred":"source","obj":"PubCasesHPO"},{"subj":"AB12","pred":"source","obj":"PubCasesHPO"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"PubCasesHPO","color":"#93d3ec","default":true}]}]}}