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Published on: September 20, 2024
[Neuroimaging findings in eclamptic patients still symptomatic after 24 hours: a descriptive study about 19 cases]
M Harandou1, N Madani, S Labibe
1Service de Réanimation Chirurgicale, Hôpital Al-Ghassani, CHU Hassan-II, Fès, Maroc. harandoumustapha@yahoo.fr
Annales Francaises D'Anesthesie Et De Reanimation
|April 25, 2006
Summary
Neuroimaging reveals common cerebral edema in eclamptic women with persistent neurological symptoms. Diffusion-weighted MRI is recommended for persistent disorders to detect subtle brain lesions.
Area of Science:
- Neurology
- Radiology
- Obstetrics
Background:
- Eclampsia, a severe pregnancy complication, can cause persistent neurological deficits.
- Neuroimaging is crucial for understanding the underlying brain abnormalities in these cases.
Purpose of the Study:
- To characterize neuroimaging findings in eclamptic patients with ongoing neurological symptoms beyond 24 hours post-admission.
Main Methods:
- A 12-month study included eclamptic parturients with coma, focal deficits, or visual disturbances.
- Cerebral CT scans and/or MRI were performed on all eligible patients.
Main Results:
- All 19 studied patients exhibited abnormal neuroimaging results.
- Cerebral edema was the most frequent finding (14 cases), often in the parietal/occipital regions.
- Other findings included cerebral venous thrombosis (3 cases) and intracerebral hemorrhage (2 cases).
Conclusions:
- Eclampsia can present with diverse neuroradiological lesions, with localized cerebral edema being most common.
- Diffusion-weighted MRI is valuable for persistent neurological disorders in eclampsia.
