1例SARS-CoV-2感染住院孕妇后侧可逆性脑病综合征

IF 0.4 Q4 NEUROSCIENCES Archives of Neuroscience Pub Date : 2023-11-05 DOI:10.5812/ans-135229
Mostafa Mohammadi, Hesam Aldin Varpaei, Seyedeh Azadeh Hosseini, Kaveh Hedayati Emami, Negin Mousaeinejad
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摘要

在怀孕期间,SARS-CoV-2感染(COVID-19)可能很复杂,母亲和新生儿的预后尚未得到充分记录。我们报告了一名怀孕33周的确诊COVID-19患者,她患上了脑病。在重症监护期间,由于酸中毒和母胎不稳定,在ICU全麻下进行了紧急剖腹产。男婴出生时APGAR评分为8分,无明显异常,随后插管。8天后,脑成像显示后路可逆性脑病综合征。母亲接受治疗并出院,无进一步并发症。在出院后6个月的最后随访中,患者的MRI显示两个枕顶皮质区有层状坏死。然而,她仍然没有症状,也没有报告任何并发症。我们还讨论了这些发现的可能原因及其与感染的关系。
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Posterior Reversible Encephalopathy Syndrome in a Hospitalized Pregnant Woman with SARS-CoV-2 Infection: A Case Report
: During pregnancy, SARS-CoV-2 infection (COVID-19) can be complicated, and the mother and neonate's prognosis is not fully documented. We are presenting the case of a 33-week pregnant patient with confirmed COVID-19 who developed encephalopathy. During the disease and hospitalization in a critical care setting, an emergency C-section was performed with general anesthesia in the ICU due to acidosis and maternal-fetal instability. The baby boy was delivered with an APGAR score of 8, showing no obvious anomalies, and was subsequently intubated. Eight days later, brain imaging revealed posterior reversible encephalopathy syndrome. The mother received treatment and was discharged without further complications. At the final follow-up six months after discharge, the patient's MRI showed laminar necrosis in the two occipitoparietal cortex areas. However, she remained symptom-free and did not report any complications. We also discussed the possible reasons for these findings and their relationship to the infection.
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来源期刊
Archives of Neuroscience
Archives of Neuroscience NEUROSCIENCES-
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期刊介绍: Archives of neuroscience is a clinical and basic journal which is informative to all practitioners like Neurosurgeons, Neurologists, Psychiatrists, Neuroscientists. It is the official journal of Brain and Spinal Injury Research Center. The Major theme of this journal is to follow the path of scientific collaboration, spontaneity, and goodwill for the future, by providing up-to-date knowledge for the readers. The journal aims at covering different fields, as the name implies, ranging from research in basic and clinical sciences to core topics such as patient care, education, procuring and correct utilization of resources and bringing to limelight the cherished goals of the institute in providing a standard care for the physically disabled patients. This quarterly journal offers a venue for our researchers and scientists to vent their innovative and constructive research works. The scope of the journal is as far wide as the universe as being declared by the name of the journal, but our aim is to pursue our sacred goals in providing a panacea for the intractable ailments, which leave a psychological element in the daily life of such patients. This authoritative clinical and basic journal was founded by Professor Madjid Samii in 2012.
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