title: Serial assessment in eclampsia of cerebrohemodynamics by combined transcranial Doppler and magnetic resonance angiography.
abstract: We used two different noninvasive methods, i.e., transcranial Doppler velocimetry and magnetic resonance angiography to serially assess cerebrohemodynamics in a patient with postpartum eclampsia. Five hours after an eclamptic seizure, a decrease in mean velocity in both middle cerebral arteries and slight angiographical spasms indicated cerebral hypoperfusion. On hospital day 8, the patient showed an increase in the mean velocity of the middle cerebral artery, accompanied by significant vasospasms. Abnormal findings were not observed on hospital day 20. These combined methods are useful in assessing cerebrohemodynamics in eclampsia.
authors.affiliation: Department of Obstetrics and Gynecology, Miyazaki Medical College, Miyazaki, Japan. tikeda@post1.miyazaki-med.ac.jp
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Ikeda
authors.forename: Hirotoshi
authors.initials: H
authors.lastname: Urabe
authors.forename: Syoichi
authors.initials: S
authors.lastname: Matsukage
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sameshima
authors.forename: Tsuyomu
authors.initials: T
authors.lastname: Ikenoue
mesh_terms: D000328:Adult; D002560:Cerebrovascular Circulation; D004461:Eclampsia / Q000000981:diagnostic imaging / Q000503:physiopathology*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D018810:Magnetic Resonance Angiography; D011247:Pregnancy; D017585:Ultrasonography, Doppler, Transcranial; D020301:Vasospasm, Intracranial / Q000175:diagnosis / Q000209:etiology*