Repeated cranial computed tomographic and magnetic resonance imaging scans in two cases of eclampsia

In two cases of eclampsia with consumptive thrombocytopenia, the maximum increase in blood pressure and the lowest platelet count coincided with the maximum degree of neurologic and neuroradiologic abnormality. Computed tomograms showed decreased attenuation, and T2-weighted magnetic resonance image...

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Bibliographic Details
Published in:Stroke (1970) 1989-04, Vol.20 (4), p.547-553
Main Authors: FREDRIKSSON, K, LINDVALL, O, INGEMARSSON, I, ASTEDT, B, CRONQVIST, S, HOLTAS, S
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cerebral Cortex - diagnostic imaging
Cerebral Cortex - pathology
Diseases of mother, fetus and pregnancy
Disseminated Intravascular Coagulation - complications
Female
Gynecology. Andrology. Obstetrics
Humans
Hypertension - complications
Magnetic Resonance Imaging
Medical sciences
Pre-Eclampsia - complications
Pregnancy
Pregnancy. Fetus. Placenta
Thrombocytopenia - complications
Tomography, X-Ray Computed
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Summary:In two cases of eclampsia with consumptive thrombocytopenia, the maximum increase in blood pressure and the lowest platelet count coincided with the maximum degree of neurologic and neuroradiologic abnormality. Computed tomograms showed decreased attenuation, and T2-weighted magnetic resonance images showed increased signal intensity focally in the cerebral cortex and the deep gray and white matter. Blood pressure, platelet count, clinical status, and roentgenograms normalized completely in both cases. Severe arterial hypertension and disseminated transitory microvascular occlusions presumably caused multiple small foci of brain edema that resolved without remaining detectable ischemic brain damage.
ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.20.4.547