Diagnosis and management of preeclampsia complicated with hypertensive encephalopathy

doi:10.3877/cma.j.issn.2095-3259.2021.04.005

Abstract

Abstract:

Preeclampsia complicated with hypertension encephalopathy is a less commonly encountered type of hypertensive emergency, highlighted by severely elevated blood pressure, accompanied by cerebral edema and the signs and symptoms of brain circulation dysfunction. The diagnosis of hypertensive encephalopathy requires the first elimination of other causes of central nervous system dysfunction. Usually, intravenous antihypertensive treatment has a significant effect, and timely treatment generally has a good prognosis.

Key words: Preeclampsia, Hypertensive encephalopathy, Diagnosis, Therapy

Rong Hu, Xiaotian Li. Diagnosis and management of preeclampsia complicated with hypertensive encephalopathy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(04): 211-215.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhckjjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3259.2021.04.005

https://zhckjjdzzz.cma-cmc.com.cn/EN/Y2021/V10/I04/211

References 15

[1]	Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines [J]. Circulation, 2018, 138(17):e426-e483.
[2]	陈伟伟，高润霖，胡胜寿，等．《中国心血管病报告2016》摘要 [J]．中国循环杂志，2017，32(6):521-530.
[3]	Strandgaard S, Paulson OB. Cerebral blood flow and its pathophysiology in hypertension [J]. Am J Hypertens, 1989, 2(6 Pt 1): 486-492.
[4]	Marra A, Vargas M, Striano P, et al. Posterior reversible encephalopathy syndrome: the endothelial hypotheses [J]. Med Hypotheses 2014，82(5):619-622.
[5]	Potter T, Schaefer TJ. Hypertensive Encephalopathy [M/OL]. StatPearls Publishing，2021[2021-07-28]． URL
[6]	Schwartz RB, Mulkern RV, Gudbjartsson H, et al. Diffusion-weighted MR imaging in hypertensive encephalopathy: clues to pathogenesis [J]. Am J Neuroradiol, 1998，19(5):859-862.
[7]	Hinchey J, Chaves C, Appignani B, et al. A reversible posterior leukoencephalopathy syndrome [J]. N Engl J Med, 1996，334(8):494-500.
[8]	Vaughan CJ, Delanty N. Hypertensive emergencies [J]. Lancet, 2000, 356(9227):411-417.
[9]	Camara-Lemarroy CR, Escobedo-Zúñiga N, Villarreal-Garza E, et al. Posterior reversible leukoencephalopathy syndrome (PRES) associated with severe eclampsia: clinical and biochemical features [J]. Pregnancy Hypertens, 2017, 7:44-49.
[10]	Chao AS, Chen YL, Chang YL, et al. Severe pre-eclamptic women with headache: is posterior reversible encephalopathy syndrome an associated concurrent finding？[J]. BMC Pregnancy Childbirth, 2020，20(1):1-8.
[11]	American College of Obetricians and Gynecologists′ Committee. ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia Obstet Gynecol [J]. Obstet Gynecol，2019，133(1):e1-e25.
[12]	Committee on Obstetric Practice. Committee Opinion No. 692: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period [J]. Obstet Gynecol, 2017, 129(4): e90-e95.
[13]	Demir BC, Ozerkan K, Ozbek SE, et al. Comparison of magnesium sulfate and mannitol in treatment of eclamptic women with posterior reversible encephalopathy syndrome [J]. Arch Gynecol Obstet, 2012，286(2):287-293.
[14]	González R, Morales E, Segura J, et al. Long-term renal survival in malignant hypertension [J]. Nephrol Dial Transplant 2010，25(10): 3266-3272.
[15]	Lip GY, Beevers M, Beevers DG. Does renal function improve after diagnosis of malignant phase hypertension? [J]. J Hypertens 1997, 15(11):1309-1315.

Please choose a citation manager

Content to export