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Head computed tomographic scans in women with eclampsia.

C E Brown1, P Purdy, F G Cunningham

  • 1Department of Obstetrics and Gynecology, University of Texas Southwestern Medical School, Dallas 75235.

American Journal of Obstetrics and Gynecology
|October 1, 1988
PubMed
Summary

Head CT scans in eclampsia revealed abnormalities in 29% of women, increasing with improved technology. Despite concerning findings, clinical management of uncomplicated eclampsia was rarely altered.

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Area of Science:

  • Obstetrics and Gynecology
  • Neurology
  • Radiology

Background:

  • Eclampsia is a severe complication of pregnancy characterized by seizures.
  • Head computed tomographic (CT) scans are sometimes used to evaluate neurological changes in eclampsia.
  • The utility of CT scans in uncomplicated eclampsia requires further investigation.

Purpose of the Study:

  • To assess the incidence and significance of abnormal head CT findings in women with eclampsia.
  • To determine if CT findings alter the clinical management of eclampsia.

Main Methods:

  • A retrospective review of 49 women with eclampsia who underwent head CT scans between 1980 and 1986.
  • Analysis of CT findings in relation to seizure occurrence and equipment generation.
  • Correlation of radiographic findings with autopsy data.

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Main Results:

  • Abnormal CT findings were observed in 14 (29%) of the women.
  • The incidence of abnormalities increased with improved CT equipment, reaching 50% in 1986.
  • Radiographic hypodensities corresponded to petechial hemorrhages and edema seen in autopsy studies.
  • All women experienced full recovery, and CT findings seldom altered management.

Conclusions:

  • Head CT scans can reveal abnormalities in a significant portion of women with eclampsia.
  • The diagnostic yield of CT scans is influenced by technological advancements.
  • The clinical utility of head CT scans in uncomplicated eclampsia is limited as findings rarely change patient management.