HELLP Sendromlu Bir Hastanın Rehabilitasyon Sonuçları: Olgu Sunumu

Yıl 2019, Cilt: 3 Sayı: 2, 69 - 71, 26.08.2019

Senem Şaş , Aysu Yetiş Fatmanur Aybala Koçak , Figen Tuncay Hatice Rana Erdem

Öz

ÖZ

Gebelikle ilişkili intrakranial lezyonlar nadir olarak görülmektedir ancak, mortalite oranı yüksektir. Olguların çoğu intrakranial

kanama, intraserebral hemoraji, subaraknaoid kanama, infarkt ve venöz trombozdur. Geri kalanı ise preeklampsi ile ilişkili

ensefalopatidir. Hellp sendromu; hemoliz, yükselmiş karaciğer enzimleri ve düşük plateletlerden ismini almıştır. HELLP

sendromunun % 25’e varan mortalite oranı raporlanmıştır. Bu yazıda hemiparaziye neden olan HELLP sendromlu bir olgunun

istenen rehabilitasyon sonuçları sunulmaktadır.

Anahtar Kelimeler

Hellp sendromu, rehabilitasyon, paralizi, gebelik

Rehabilitation Outcomes of a Patient with HELLP Syndrome: Case Report

Öz

ABSTRACT

Intracranial lesions associated with pregnancy are rare, but mortality rates are high. Most of the events are intracranial hemorrhage,

intracerebral hemorrhage, subarachnoid hemorrhage, infarction and venous thrombosis. The remainder is encephalopathy associated

with preeclampsia. HELLP syndrome is presented with hemolysis, elevated liver enzymes and low platelets. Mortality was reported

up to 25 % in HELLP syndrome. In this paper we present desirable rehabilitation outcomes of hemiparesis caused by HELLP

syndrome.  

Anahtar Kelimeler

Hellp syndrome, rehabilitation, paralyse

Kaynakça

• Okada T, Kanagaki M, Yamamoto A, et al. Magnetic resonance imaging of vascular encephalopathy related to pregnancy. Neurologia medico-chirurgica, 2013;53(8): 520-525.
• Isler CM, Rinehart BK, Terrone DA, Martin RW, Magann EF, Martin JN Jr: Maternal mortality associated with HELLP syndrome. Am J Obstet Gynecol.1999; 181:924-928
• Albrecht EW, Stegeman CA, Heeringa P, et al. Protective role of endothelial nitric oxide synthase. The Journal of pathology, 2003;199(1): 8-17.
• Mazzanti L, Cecati M, Vignini A, et al. Placental expression of endothelial and inducible nitric oxide synthase and nitric oxide levels in patients with HELLP syndrome. American Journal of Obstetrics & Gynecology, 2011;205(3): 236-e1.
• Ellison J, Greer IA, Sattar N. HELLP syndrome: mechanisms and management. Hospital Medicine,1999; 60(4), 243-249.
• Sibai BM, Ramadan MK, Usta I, et al. Maternal morbidity and mortality in 442 pregnancies with hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome). American Journal of Obstetrics & Gynecology, 1993;169(4), 1000-1006.
• Negro A, Zuccoli G, Regolisti G,et al. Reversible posterior leukoencephalopathy associated with postpartum HELLP syndrome. European journal of internal medicine,2005; 16(4), 291-293.
• Hinchey J, Chaves C, Appignani B, et al. A reversible posterior leukoencephalopathy syndrome. New England Journal of Medicine, 1996;334(8), 494-500.
• Bartynski WS. Posterior reversible encephalopathy syndrome, part 1: fundamental imaging and clinical features. American Journal of Neuroradiology,2008; 29(6), 1036-1042.
• Araqi-Houssaini A, Salmi S, Moussaid I, et al. Syndrome d’encéphalopathie postérieure réversible et éclampsie: étude descriptive de 13 cas au Maroc. revue neurologique,2011; 167(11), 812-819.
• Groothius JT, van Kuppevelt DH. Postpartum spinal cord injury in a woman with HELLP syndrome. The journal of spinal cord medicine,2008; 31(3), 309-311.