A case of Hypertensive Encephalopathy after Postpartum Bleeding.

Kim, Kyoung Won; Ha, Jun Young; Kim, Do Gyun; Kim, Jong Ho; Yang, Hoe Saeng; Yoon, Hae Won; Sim, Jae Cheol; Kim, Wook Nyun; Eah, Kyung Yoon

Case Report

Korean Journal of Obstetrics & Gynecology 2001;44(8):1553-1557.
Published online August 1, 2001.

A case of Hypertensive Encephalopathy after Postpartum Bleeding.

Kyoung Won Kim, Jun Young Ha, Do Gyun Kim, Jong Ho Kim, Hoe Saeng Yang, Hae Won Yoon, Jae Cheol Sim, Wook Nyun Kim, Kyung Yoon Eah

¹Department of Obstetrics and Gynecology, College of Medicine, Dongguk University, Kyongju, Korea.
²Department of Neurology, College of Medicine, Dongguk University, Kyongju, Korea.

Abstract

Hypertensive encephalpathy is defined as severe hypertension in association with headache, nausea and vomiting, visual disturbances, confusion, stupor and coma. The pathophysiological mechanism is incompletely understood and causing as a result of failure of the upper limit of cerebral vascular autoregulation. Magnetic resonance imaging shows a characteristics posterior leukoencephalopathy, predominantly affects the white matter of the parietal and occipital lobes. Hypertensive encephalopathy are potentially reversible with timely and appropriate treatment. We experienced a case of hypertensive encephalopathy after normal vaginal delivery and report this case with a brief review of the literatures.

Key Words: Hypertensive encephalopathy, Postpartum bleeding