Title: A Prospective Observational Study of Neuro Imaging in Eclampsia Patients in a Tertiary Care Institution

Authors: Dr A. Rajeswari MD., OG, Dr R. Mythra Bhavini.MS., OG

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.125

Abstract

Introduction

Hypertensive disorders complicating pregnancy is one of the major cause of maternal and perinatal mortality and morbidity worldwide. Among the Hypertensive disorders, Preeclampsia and Eclampsia are a life threatening multisystem disorder, which affects Cardiovascular, Hematological, Renal, Hepatic, and Central nervous system.

Preeclampsia is estimated to affect about 5 % of deliveries while eclampsia affects about 1.4% of deliveries. Cerebrovascular involvement is the direct cause of death in 40% of patients with hypertensive disorders. When it is diagnosed and intervened at the earlier, symptoms and radiological changes can be reversed.

References

  1. Dejana Jovanovic et al: Neurological manifestations and diagnosticfindings in Eclampsia, Stroke. Aha journal. org. 2008. A.Chakravarthy, S. D. Chakravarti:
  2. The Neurology of Eclampsia: Neurology India, vol. 50. No. 2. June2002. pp128-135.
  3. Williams Obstetrics, Twenty fourth Edition. Ch.40.Hypertensivedisorders of pregnancy.
  4. AYH, Buananno FC, Scrafer Pw, et al. Posteriorleukoencephopathy without severe hypertension: utility ofdiffusion weighted MRI.Neurology 1998; 51:1369 76.
  5. Aukes AM, de Groot JC, Aarnoudse JG, et al: Brain lesions several years after eclampsia. Am J Obstet Gynecol 200(5):504.e1, 2009
  6. Aukes AM, de Groot JC, Wiegman MJ, et al: Long-term cerebral imaging after pre-eclampsia. BJOG 119(9):1117, 2012
  7. Aukes AM, Wessel I, Dubois AM, et al: Self-reported cognitive functioning in formerly eclamptic women. Am J Obstet Gynecol 197(4):365.e1, 2007.

Corresponding Author

Dr A. Rajeswari

Professor and HOD, Department of Obstetrics and Gynaecology

Govt. Vellore Medical College