Reversible bilaterale Veränderungen im zerebralen Kernspintomogramm bei Eklampsie
| Autor: | K.-F. Druschky, W. Obhof, C. Müller, H. U. Ulmer |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Pregnancy Proteinuria Eclampsia medicine.diagnostic_test business.industry Magnetic resonance imaging General Medicine Electroencephalography medicine.disease Pharmacological treatment White matter medicine.anatomical_structure medicine Radiology Tomography medicine.symptom business |
| Zdroj: | DMW - Deutsche Medizinische Wochenschrift. 121:1184-1188 |
| ISSN: | 1439-4413 0012-0472 |
| DOI: | 10.1055/s-2008-1043124 |
| Popis: | History and clinical findings Case 1: A 19-year-old primigravida was hospitalised in the 24th week of pregnancy after a series of grand-mal seizures. Investigation showed the classical eclamptic triad of oedema, hypertension and proteinuria. Case 2: 6 days post-partum a 24-year-old primipara developed hypertension and typical clinical prodromata. Subsequently she had a series of sometimes initially focal grand-mal seizures. Treatment and course In both cases seizures ceased following pharmacological treatment. The pregnancy in the first case remained intact. Cerebral magnetic resonance imaging (MRI) demonstrated characteristic findings in both cases, in case 1 bilateral disseminated supratentorial foci of oedema without space-occupying features, in case 2 occipital white matter oedema and several supratentorial foci. All changes were completely reversible, in case 1 after 10 days, in case 2 after 16 days. Conclusions Together with the clinical findings the focal changes on MRI provide a characteristic picture. MRI can thus be an important aid to the diagnosis of eclampsia and will prevent a misinterpretation as focal encephalitis or venous sinus thrombosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|