Ikeda Tomoaki, Urabe Hirotoshi, Matsukage Syoichi, Sameshima Hiroshi, Ikenoue Tsuyomu
Department of Obstetrics and Gynecology, Miyazaki Medical College, Miyazaki, Japan.
Gynecol Obstet Invest. 2002;53(1):65-7. doi: 10.1159/000049414.
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.
我们使用了两种不同的非侵入性方法，即经颅多普勒测速法和磁共振血管造影术，对一名产后子痫患者的脑血流动力学进行了连续评估。子痫发作5小时后，双侧大脑中动脉平均流速降低，血管造影显示轻度痉挛，提示脑灌注不足。在住院第8天，患者大脑中动脉平均流速增加，伴有明显的血管痉挛。住院第20天未观察到异常发现。这些联合方法有助于评估子痫患者的脑血流动力学。
