title: [Acute adrenal gland decompensation in the immediate postpartum].
abstract: We report the case of acute adrenal gland failure which occurred one hour after cesarian section for the delivery of a child after 31 weeks of amenorrhoea. The clinical picture of the mother was immediately severe and was dominated by neurological features: profound coma with a bilateral Babinski's sign. The laboratory tests however only revealed severe hypoglycaemia among the classical signs of adrenal gland failure. It was extremely difficult to correct the blood glucose level without concomitant administration of corticosteroids.
authors.affiliation: Clinique Gynécologie-Obstétricale A, Hôtel-Dieu, Rennes.
authors.forename: A
authors.initials: A
authors.lastname: Guivarc'h-Lévêque
authors.forename: J M
authors.initials: JM
authors.lastname: Vovan
authors.forename: J Y
authors.initials: JY
authors.lastname: Le Bervet
authors.forename: P L
authors.initials: PL
authors.lastname: Broux
authors.forename: J R
authors.initials: JR
authors.lastname: Giraud
mesh_terms: D000208:Acute Disease; D000309:Adrenal Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000378:metabolism; D000328:Adult; D000450:Aldosterone / Q000097:blood; D001786:Blood Glucose; D002585:Cesarean Section; D003128:Coma / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000031:analogs & derivatives / Q000378:metabolism / Q000627:therapeutic use; D007003:Hypoglycemia / Q000097:blood / Q000209:etiology*; D011247:Pregnancy; D011644:Puerperal Disorders / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000378:metabolism; D001405:Reflex, Babinski
chemical_list: D001786:Blood Glucose; D000450:Aldosterone; C007133:hydrocortisone hemisuccinate; D006854:Hydrocortisone
vernacular_title: Décompensation surrénalienne aiguë dans le post-partum immédiat.