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Unusual Computed Tomographic Scan in Eclampsia

Unusual Computed Tomographic Scan in Eclampsia Abstract Several excellent postmortem series offering clinicopathologic correlation of eclampsia have been published1-4; however, to our knowledge the literature contains no reports of clinicopathologicoradiologic correlation of this condition. On this basis, we wish to report a recent case from our hospital. REPORT OF A CASE A 31-year-old woman (gravida 1, para O, abortus 0) was transferred to the University of Arizona Health Sciences Center, Tucson, following her first grand mal seizure. Prenatal care had consisted of a visit to an outlying hospital six weeks before.On the basis of hypertension, edema, neurologic signs, and proteinuria, a diagnosis of eclampsia was made; she was immediately transferred. On arrival she was stuporous. Blood pressure (BP) was 150/ 110 mm Hg. The neck was supple. Muscle stretch reflexes were hyperactive. Plantar responses were flexor. General examination revealed mild facial and lower-extremity edema and a uterus typical of a 32-week gestation. Urinalysis showed moderate References 1. Sheehan HL, Lynch JB: Cerebral lesions , in Pathology of Toxemia in Pregnancy . Baltimore, Williams & Wilkins Co, 1973, chap 32. 2. Jewett JF: Fatal intracranial edema from eclampsia . N Engl J Med 1973;289:276-277. 3. Parks J, Pearson JW: Cerebral complications occurring in the toxemia of pregnancy . Am J Obstet Gynecol 1943;45:774-785. 4. Chapman K, Karini R: A case of postmortem eclampsia of late onset confirmed by autopsy . Am J Obstet Gynecol 1973;117:858-861. 5. Donaldson JO: Eclampsia and other causes of peripartum convulsions , in Neurology of Pregnancy . Philadelphia, WB Saunders Co, chap 11. 6. Ziegler DK, Zosa A, Zileli T: Hypertensive encephalopathy . Arch Neurol 1965;12:472-478.Crossref 7. Strandgaard S: The lower and upper limit for autoregulation of cerebral blood flow . Stroke 1973;4:323. 8. Strandgaard S, Jones JV, MacKenzie ET, et al: Upper limit of cerebral blood flow autoregulation in experimental renovascular hypertension in the baboon . Circ Res 1975;37:164-167.Crossref 9. Strandgaard S, MacKenzie ET, Jones JV, et al: Studies on the cerebral circulation of the baboon in acutely induced hypertension . Stroke 1976;7:287-290.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Unusual Computed Tomographic Scan in Eclampsia

Archives of Neurology , Volume 39 (1) – Jan 1, 1982

Unusual Computed Tomographic Scan in Eclampsia

Abstract

Abstract Several excellent postmortem series offering clinicopathologic correlation of eclampsia have been published1-4; however, to our knowledge the literature contains no reports of clinicopathologicoradiologic correlation of this condition. On this basis, we wish to report a recent case from our hospital. REPORT OF A CASE A 31-year-old woman (gravida 1, para O, abortus 0) was transferred to the University of Arizona Health Sciences Center, Tucson, following her first grand mal seizure....
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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1982.00510130068022
Publisher site
See Article on Publisher Site

Abstract

Abstract Several excellent postmortem series offering clinicopathologic correlation of eclampsia have been published1-4; however, to our knowledge the literature contains no reports of clinicopathologicoradiologic correlation of this condition. On this basis, we wish to report a recent case from our hospital. REPORT OF A CASE A 31-year-old woman (gravida 1, para O, abortus 0) was transferred to the University of Arizona Health Sciences Center, Tucson, following her first grand mal seizure. Prenatal care had consisted of a visit to an outlying hospital six weeks before.On the basis of hypertension, edema, neurologic signs, and proteinuria, a diagnosis of eclampsia was made; she was immediately transferred. On arrival she was stuporous. Blood pressure (BP) was 150/ 110 mm Hg. The neck was supple. Muscle stretch reflexes were hyperactive. Plantar responses were flexor. General examination revealed mild facial and lower-extremity edema and a uterus typical of a 32-week gestation. Urinalysis showed moderate References 1. Sheehan HL, Lynch JB: Cerebral lesions , in Pathology of Toxemia in Pregnancy . Baltimore, Williams & Wilkins Co, 1973, chap 32. 2. Jewett JF: Fatal intracranial edema from eclampsia . N Engl J Med 1973;289:276-277. 3. Parks J, Pearson JW: Cerebral complications occurring in the toxemia of pregnancy . Am J Obstet Gynecol 1943;45:774-785. 4. Chapman K, Karini R: A case of postmortem eclampsia of late onset confirmed by autopsy . Am J Obstet Gynecol 1973;117:858-861. 5. Donaldson JO: Eclampsia and other causes of peripartum convulsions , in Neurology of Pregnancy . Philadelphia, WB Saunders Co, chap 11. 6. Ziegler DK, Zosa A, Zileli T: Hypertensive encephalopathy . Arch Neurol 1965;12:472-478.Crossref 7. Strandgaard S: The lower and upper limit for autoregulation of cerebral blood flow . Stroke 1973;4:323. 8. Strandgaard S, Jones JV, MacKenzie ET, et al: Upper limit of cerebral blood flow autoregulation in experimental renovascular hypertension in the baboon . Circ Res 1975;37:164-167.Crossref 9. Strandgaard S, MacKenzie ET, Jones JV, et al: Studies on the cerebral circulation of the baboon in acutely induced hypertension . Stroke 1976;7:287-290.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Jan 1, 1982

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