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[Clinical analysis of 62 cases of encephalopathy during puerperium]
Mei Jin1, Jun-Hua Lin, Shi-Lei Wang
1Department of Neurology, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. tor_jin@hotmail.com
Objective:
To study the clinical features, therapeutic methods and prognosis of encephalopathy during puerperium.
Methods:
The clinical data of 62 patients with onset of mental symptoms and signs of extensive cerebral involvement during puerperium were retrospectively analyzed.
Results:
The clinical representations and treatment method of encephalopathy during puerperium were similar to those of viral encephalitis, but the former disease showed no evident signs of infection in the initial stage, with longer course and poorer curative effect and prognosis than viral encephalitis.
Conclusion:
Patients with onset of mental abnormalities during puerperium should receive systemic neurological examination as early as possible for timely diagnoses and treatment. In early stage of the disease, cerebral edema should be brought under control and the duration of edema minimized so as to prevent or alleviate the degeneration and demyelination of the cerebral cells. Prolonged comprehensive rehabilitation treatments are recommended for the patients' optimal recovery in later stages of the disease.