Malignant PRES and RCVS after brain surgery in the early postpartum period.

Détails

ID Serval
serval:BIB_023A53827800
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Malignant PRES and RCVS after brain surgery in the early postpartum period.
Périodique
Clinical neurology and neurosurgery
Auteur(s)
Cossu G., Daniel R.T., Hottinger A.F., Maduri R., Messerer M.
ISSN
1872-6968 (Electronic)
ISSN-L
0303-8467
Statut éditorial
Publié
Date de publication
10/2019
Peer-reviewed
Oui
Volume
185
Pages
105489
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
The management of women with brain tumors in the early post-partum period may be demanding as the patho-physiological changes that occur during pregnancy may also manifest in the early post-partum period. The aim of our paper is to report a case of late-onset post-partum pre-eclampsia after brain tumor surgery, complicated by posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS). Hemicraniectomy and intensive care management were necessary to obtain a favorable neurological outcome. The inherent literature on the subject is also analyzed through a systematic research. This is the first case of supratentorial decompressive hemicraniectomy in post-partum PRES, while there has been only one other case of posterior fossa decompression described in this cohort of patients. PRES and RCVS can complicate the neurosurgical management of women in the postpartum period. A careful evaluation of the clinical presentation is necessary as in some particular cases an aggressive medical and surgical treatment is required to obtain a favorable outcome.
Mots-clé
Brain surgery, Craniectomy, PRES, Post partum, Pre-eclampsia, RCVS
Pubmed
Web of science
Création de la notice
17/09/2019 21:55
Dernière modification de la notice
27/03/2020 7:26
Données d'usage