Unusual computed tomographic scan in eclampsia

J. P. Gaitz, Colin R Bamford

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28 Citations (Scopus)

Abstract

Several excellent postmortem series offering clinicopathologic correlation of eclampsia have been published, 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. Our patient suffered from the direct effects of hypertensive encephalopathy (i.e., vasospasm). Both her clinical signs and CT changes are consistent with one well-described pathologic lesion of hypertensive encephalopathy, viz., bilateral ischemic white infarction. Presumably, these infarcts resulted from prolonged vasospasm. The CT scan initially demonstrated low density in the internal and external capsules. Anatomically this correlates well with our clinical findings of quadriparesis; however, the rapid clinical improvement and subsequently normal CT scan suggest that the ischemic changes were largely reversible. Nevertheless, persistent signs of neurologic dysfunction suggest there may have been small zones of infarction beyond the resolution of the scanner.

Original languageEnglish (US)
Pages (from-to)66
Number of pages1
JournalArchives of Neurology
Volume39
Issue number1
StatePublished - 1982

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Hypertensive Encephalopathy
Eclampsia
Infarction
Internal Capsule
Quadriplegia
Neurologic Manifestations

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Unusual computed tomographic scan in eclampsia. / Gaitz, J. P.; Bamford, Colin R.

In: Archives of Neurology, Vol. 39, No. 1, 1982, p. 66.

Research output: Contribution to journalArticle

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