子痫患者24小时后仍有症状的神经影像学表现：一项关于19例病例的描述性研究

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

作者信息

Harandou M, Madani N, Labibe S, Messouak O, Boujraf S, Benkirane S, Houssni B, Maaroufi M, Lemhadri M, Tizniti S, Belahsen F, Khatouf M, Kanjaa N

机构信息

Service de Réanimation Chirurgicale, Hôpital Al-Ghassani, CHU Hassan-II, Fès, Maroc.

出版信息

Ann Fr Anesth Reanim. 2006 Jun;25(6):577-83. doi: 10.1016/j.annfar.2006.02.022. Epub 2006 Apr 24.

DOI:10.1016/j.annfar.2006.02.022

PMID:16632295

Abstract

OBJECTIVE

To describe the neuroimaging findings in eclamptic patients still symptomatic after 24 hours.

PATIENTS AND 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.

CONCLUSION

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.

摘要