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Pearls & Oy-sters: Reversible Postpartum Pseudocoma State Associated With Magnesium Therapy: A Report of 2 Cases.
Friedman-Korn, Tal; Lerner, Yosef; Haggiag, Shalom; Nama, Ahmad; Ekstein, Dana; Argov, Zohar; Vaknin-Dembinsky, Adi; Gotkine, Marc.
Afiliação
  • Friedman-Korn T; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Lerner Y; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Haggiag S; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Nama A; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Ekstein D; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Argov Z; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Vaknin-Dembinsky A; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
  • Gotkine M; From the Department of Neurology (T.F.-K., Y.L., S.H., A.N., D.E., Z.A., A.V.-D., M.G.), The Agnes Ginges Center for Human Neurogenetics, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel; Department of Neurology (S.H.), San Camillo-Forlanini, Rome, Italy;
Neurology ; 99(10): 433-436, 2022 09 06.
Article em En | MEDLINE | ID: mdl-36219798
ABSTRACT
Magnesium (Mg) competes with calcium in normal synaptic transmission, inhibiting neurotransmitter release. As a drug, it is usually given as a treatment for eclampsia and preeclampsia. Two eclamptic pregnant women treated with Mg developed a pseudocoma state immediately after emergency Caesarian section. The clinical presentation was flaccid quadriparesis, areflexia, absent respiratory effort and vestibular-ocular reflexes, but with preserved pupillary responses. Decremental responses on repetitive nerve stimulation were found in both women. Recovery was obtained after cessation of Mg. The persistence of pupillary reflexes in the absence of reflexes involving striated muscles was an important clinical clue, indicating neuromuscular junction dysfunction.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pré-Eclâmpsia / Magnésio Tipo de estudo: Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2022 Tipo de documento: Article
Texto completo
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XML
PubMed Links
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Pré-Eclâmpsia / Magnésio Tipo de estudo: Risk_factors_studies Limite: Female / Humans / Pregnancy Idioma: En Ano de publicação: 2022 Tipo de documento: Article