[Neuroimaging findings in eclamptic patients still symptomatic after 24 hours: a descriptive study about 19 cases].
OBJECTIVE
To describe the neuroimaging findings in eclamptic patients still symptomatic after 24 hours.


METHODS
All parturients consecutively admitted over a 12-month period for eclampsia and presenting with neurological disorders (coma, focal neurological abnormalities, and eye sight disturbance) underwent cerebral CT-scan and/or MRI.


RESULTS
Nineteen women were studied, and all had abnormal neuroradiological findings. The CT-scan was normal in three cases. Cerebral oedema was the predominant lesion (14 cases). It was localized in the parietal or occipital area (12 cases), paraventricular area (1 case), or was diffuse (1 case). Diffusion weighted MRI was performed in four cases and showed cytotoxic cerebral oedema in one case. There were three cases of cerebral venous thrombosis and two cases of intracerebral haemorrhage.


CONCLUSIONS
Various neuroradiological lesions can be observed in eclamptic patients. A localized cerebral oedema is the most frequent. Diffusion weighted MRI should be systematically done when neurological disorders persist.
Harandou
M
M
Service de Réanimation Chirurgicale, Hôpital Al-Ghassani, CHU Hassan-II, Fès, Maroc. harandoumustapha@yahoo.fr
Madani
N
N
Labibe
S
S
Messouak
O
O
Boujraf
S
S
Benkirane
S
S
Houssni
B
B
Maaroufi
M
M
Lemhadri
M
M
Tizniti
S
S
Belahsen
F
F
Khatouf
M
M
Kanjaa
N
N
D000293:Adolescent; D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001927:Brain Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D001929:Brain Edema / Q000175:diagnosis / Q000000981:diagnostic imaging; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000000981:diagnostic imaging; D002550:Cerebral Veins / Q000000981:diagnostic imaging / Q000473:pathology; D002552:Cerebral Ventricles / Q000473:pathology; D002585:Cesarean Section; D038524:Diffusion Magnetic Resonance Imaging; D004461:Eclampsia / Q000188:drug therapy*; D005260:Female; D005313:Fetal Death / Q000209:etiology; D006801:Humans; D020767:Intracranial Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging; D009778:Occipital Lobe / Q000000981:diagnostic imaging / Q000473:pathology; D010296:Parietal Lobe / Q000000981:diagnostic imaging / Q000473:pathology; D011247:Pregnancy; D011256:Pregnancy Outcome; D014057:Tomography, X-Ray Computed
D000959:Antihypertensive Agents