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Posterior Reversible Encephalopathy Syndrome Presenting as Delirium With Psychosis and Agitation in the Postpartum Period.
Cureus
March 2024
Psychiatry, Hackensack Meridian Jersey Shore University Medical Center, Neptune, USA.
Posterior reversible encephalopathy syndrome (PRES), which was first described in 1996, is a neurologic condition characterized by a combination of clinical and neuroimaging findings. PRES may arise in the context of preeclampsia, eclampsia, renal failure, and sepsis, among other conditions. Neuropsychiatric symptoms of PRES include altered mental status, agitation, and in some cases psychosis.
View Article and Find Full Text PDFHypophysitis: A Rare Cause of Impaired Consciousness in a Middle-Aged Woman.
Neurol India
June 2021
Department of Radiology, Jubilee Mission Medical College Hospital and Research Institute, Thrissur, Kerala, India.
Background: Hypophysitis occurs predominantly in women, usually during pregnancy or postpartum period. Hypophysitis involving the anterior pituitary often presents with adrenal insufficiency.
Design/methods: We describe a 43-year-old woman who presented with recurrent episodes of alteration of sensorium due to hyponatremia.
Postpartum headache: A broader differential.
Am J Emerg Med
January 2021
Department of Emergency Medicine, University Health Network, Toronto, ON, Canada; Medical Director of Stadium Medicine, Toronto Blue Jays, Toronto, ON, Canada.
A 40-year-old female presented to the ED with a history of intermittent headaches since a vaginal delivery 8 days prior. Her pregnancy was unremarkable and was not complicated by pre-eclampsia. She did not present with signs or symptoms consistent with postdural puncture headache or pre-eclampsia.
View Article and Find Full Text PDFFetal congenital midaortic syndrome with unilateral renal artery stenosis prenatally presenting with polyhydramnios and postpartum as hyponatremic hypertensive syndrome.
BMJ Case Rep
May 2020
Department of Obstetrics and Gynecology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
The midaortic syndrome (MAS) is a rare anomaly, characterised by narrowing of the distal aorta and its major branches. The most common symptom is severe arterial hypertension. The combination of hyponatremia, polyuria and renovascular hypertension caused by a unilateral renal artery stenosis is described as hyponatremic hypertensive syndrome.
View Article and Find Full Text PDFCongenital chloride diarrhea presenting in newborn as a rare cause of meconium ileus.
J Perinatol
February 2013
Pediatric Department and Pediatric Pulmonology Unit, St Vincent Hospital, Nazareth, Israel.
Postpartum abdominal distention and meconium ileus may occur due to intestinal obstruction, Hirschprung disease or cystic fibrosis. However, other rare and challenging etiologies such as congenital chloride diarrhea (CCD) should be included in differential diagnosis of such presentation. We present a premature baby girl who had distended abdomen and lack of meconium immediately after birth.
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