The purpose of this study is to explore the long-term consequences of neuroimaging and perceived cognitive dysfunction in obstetrics posterior reversible encephalopathy syndrome.
This is a prospective study. The investigators divided the PE or E patients into two groups, namely PRES group and non-PRES group, according to diagnostic criteria . The general information(demographic data,blood pressure.etc.)and blood sample will be collected. Additionally,all patients receive neuroimaging examination(DTI,ASL,3D-TMI.etc.)and neuro-cognitive test(MMSE,MOCA,CFQ, etc.) to assess the cerebral white matter lesions and cognitive changes.
Study Type
OBSERVATIONAL
Enrollment
500
neuroimaging will be perform,neuro-cognitive will be tested,blood pressure will be monitored,blood samples will be tested
Department of Obstetrics and Gynecology, Key Laboratory for Major Obstetric Diseases of Guangdong Province, The Third Affiliated Hospital of Guangzhou Medical University
Guangzhou, China
neuroimaging examination
the degree of white matter lesions(0,normal; 1, limited cortical or subcortical white matter oedema; 2, white matter oedema \> cortical oedema, white matter oedema extending into deep white matter; 3, white matter oedema \> cortex oedema, oedema extending to the ventricular surface; 4, the involved regions substantially extend to the ventricular surface and are almost completely confluent; 5, involved regions are fully confluent and continuous, ventricular deformity due to the oedema).The value of fractional anisotropy(FA) in PRES group may higher than non- PRES group, and mean diffusivity (MD) in PRES group may lower than non- PRES group.
Time frame: within 10 years after deliver
neuro-cognitive test of Mini-mental State Examination
the scores of Mini-mental State Examination,normal (27-30);mild (21-26); moderate (10-20); severe (0-9).
Time frame: within 10 years after deliver
neuro-cognitive test of Montreal Cognitive Assessment
the scores of Montreal Cognitive Assessment,normal (≥26); abnormal (\<26).
Time frame: within 10 years after deliver
blood pressure and hypertension
Hypertension: blood pressure ≥140/90 mmHg
Time frame: within 10 years after deliver
level of lactate dehydrogenase(LDH)
inflammatory: LDH\>380U/L
Time frame: within 10 years after deliver
level of LDL in blood
hyperlipidemia:LDL\>3.12mmol/L
Time frame: within 10 years after deliver
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