Cross-sectional analysis of posterior reversible encephalopathy syndrome in pregnant women with and without HELLP syndrome.

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Title: Cross-sectional analysis of posterior reversible encephalopathy syndrome in pregnant women with and without HELLP syndrome.
Authors: Song, Wenjing (AUTHOR), Wang, Yansu (AUTHOR), Kong, Yu (AUTHOR), Yang, Jingwen (AUTHOR), Ji, Ying (AUTHOR), Sun, Xiaosa (AUTHOR), Yuan, Xinyi (AUTHOR), Li, Xiaowen (AUTHOR), Tian, Jin (AUTHOR), Yang, Fei (AUTHOR), Xie, Shao (AUTHOR), Chen, Hao (AUTHOR)
Source: Neurological Sciences. Aug2025, Vol. 46 Issue 8, p3757-3764. 8p.
Subjects: Posterior leukoencephalopathy syndrome, Hellp syndrome, Calcium ions, Pregnant women, Platelet lymphocyte ratio
Abstract: Aims: This study aims to examine clinical, laboratory, neuroimaging and perinatal differences between pregnant women with isolated PRES and those with concurrent HELLP syndrome, thus improving clinicians' understanding of these conditions. Methods: A cross-sectional analysis was performed on 60 pregnant and postpartum women diagnosed with PRES at the Affiliated Hospital of Xuzhou Medical University, spanning from January 2014 to March 2024. These patients were divided into two groups based on laboratory findings: the isolated PRES group and the PRES-HELLP group. The study compared general clinical parameters (risk factors, neurological symptoms), laboratory tests, neuroimaging data (affected brain regions), and perinatal outcomes between the two groups. Results: The study included 40 patients with isolated PRES and 20 patients with PREScombined with HELLP syndrome. Patients in the PRES-HELLP group exhibited lower platelet count, platelet-to-lymphocyte ratio (PLR), serum albumin (ALB), serum sodium ion (Na+), serum total calcium ion (Ca2+), and Apgar scores (both at 1 and 5 min), along with elevated CRP, liver enzymes, and urea levels compared to those in the PRES group (P < 0.05). Conclusions: Concurrent HELLP syndrome exacerbates maternal and fetal risks in pregnant women with PRES, emphasizing the significance of prompt recognition. [ABSTRACT FROM AUTHOR]
Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Cross-sectional analysis of posterior reversible encephalopathy syndrome in pregnant women with and without HELLP syndrome.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Song%2C+Wenjing%22&quot;&gt;Song, Wenjing&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wang%2C+Yansu%22&quot;&gt;Wang, Yansu&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kong%2C+Yu%22&quot;&gt;Kong, Yu&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yang%2C+Jingwen%22&quot;&gt;Yang, Jingwen&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ji%2C+Ying%22&quot;&gt;Ji, Ying&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sun%2C+Xiaosa%22&quot;&gt;Sun, Xiaosa&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yuan%2C+Xinyi%22&quot;&gt;Yuan, Xinyi&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Li%2C+Xiaowen%22&quot;&gt;Li, Xiaowen&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Tian%2C+Jin%22&quot;&gt;Tian, Jin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Yang%2C+Fei%22&quot;&gt;Yang, Fei&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Xie%2C+Shao%22&quot;&gt;Xie, Shao&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Chen%2C+Hao%22&quot;&gt;Chen, Hao&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Neurological+Sciences%22&quot;&gt;Neurological Sciences&lt;/searchLink&gt;. Aug2025, Vol. 46 Issue 8, p3757-3764. 8p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Posterior+leukoencephalopathy+syndrome%22&quot;&gt;Posterior leukoencephalopathy syndrome&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hellp+syndrome%22&quot;&gt;Hellp syndrome&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Calcium+ions%22&quot;&gt;Calcium ions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pregnant+women%22&quot;&gt;Pregnant women&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Platelet+lymphocyte+ratio%22&quot;&gt;Platelet lymphocyte ratio&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Aims: This study aims to examine clinical, laboratory, neuroimaging and perinatal differences between pregnant women with isolated PRES and those with concurrent HELLP syndrome, thus improving clinicians&#39; understanding of these conditions. Methods: A cross-sectional analysis was performed on 60 pregnant and postpartum women diagnosed with PRES at the Affiliated Hospital of Xuzhou Medical University, spanning from January 2014 to March 2024. These patients were divided into two groups based on laboratory findings: the isolated PRES group and the PRES-HELLP group. The study compared general clinical parameters (risk factors, neurological symptoms), laboratory tests, neuroimaging data (affected brain regions), and perinatal outcomes between the two groups. Results: The study included 40 patients with isolated PRES and 20 patients with PREScombined with HELLP syndrome. Patients in the PRES-HELLP group exhibited lower platelet count, platelet-to-lymphocyte ratio (PLR), serum albumin (ALB), serum sodium ion (Na+), serum total calcium ion (Ca2+), and Apgar scores (both at 1 and 5 min), along with elevated CRP, liver enzymes, and urea levels compared to those in the PRES group (P &lt; 0.05). Conclusions: Concurrent HELLP syndrome exacerbates maternal and fetal risks in pregnant women with PRES, emphasizing the significance of prompt recognition. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Neurological Sciences is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10072-025-08197-5
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Posterior leukoencephalopathy syndrome
        Type: general
      – SubjectFull: Hellp syndrome
        Type: general
      – SubjectFull: Calcium ions
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      – SubjectFull: Pregnant women
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      – SubjectFull: Platelet lymphocyte ratio
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              Text: Aug2025
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