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Síndrome de encefalopatía posterior reversible durante la analgesia epidural del trabajo de parto: un informe de caso
Sadamu Sugimoto1, Misako Shimizu1, Mariko Takebe1
1Department of Anesthesiology, University of Toyama, , 2630 Sugitani, Toyama, Toyama, 930-0194, Japan.
JA clinical reports
|August 23, 2025
Resumen
El síndrome de encefalopatía posterior reversible (PRES) puede manifestarse inusualmente en el período posparto. Este caso muestra PRES con amnesia y automatismos faciales, incluso sin convulsiones, enfatizando la necesidad de una resonancia magnética rápida.
Área de la Ciencia:
- Neurología
- Obstetricia y parto
- Radiología
Sus antecedentes:
- El síndrome de encefalopatía posterior reversible (PRES) presenta diversos síntomas neurológicos.
- Las manifestaciones atípicas de PRES pueden plantear problemas de diagnóstico.
- Peripartum PRES es una condición crítica que requiere un reconocimiento oportuno.
Objetivo del estudio:
- Para reportar un caso raro de peripartum.
- Para describir las presentaciones neurológicas inusuales de PRES.
- Hacer hincapié en las consideraciones de diagnóstico para el PRES postparto.
Principales métodos:
- Informe de caso de una primigravida de 29 años.
- La presentación clínica incluyó hipertensión, trastornos visuales, alteración de la conciencia y amnesia.
- La resonancia cerebral confirmó PRES en los lóbulos parieto-occipitales.
Principales resultados:
- El paciente experimentó amnesia retrógrada transitoria profunda y automatismos orofaciales.
- Los hallazgos de PRES fueron secundarios a la preeclampsia.
- Los síntomas neurológicos ocurrieron sin ataques generalizados.
Conclusiones:
- El PRES periparto puede presentar síntomas atípicos como amnesia y automatismos faciales.
- La ausencia de ataques no excluye el PRES.
- La alta sospecha y la rápida resonancia magnética son cruciales para el diagnóstico y el manejo del PRES peripartum.
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