CLINICAL AND PHYSIOLOGICAL FEATURES OF THE DEVELOPMENT OF NEUROLOGICAL COMPLICATIONS OF ECLAMPSIA: A SYSTEMATIC OVERVIEW


Cite item

Full Text

Abstract

The cases of neurological complications of eclampsia, published in English-language medical journals in 1980 to 2008, are analyzed. The frequency characteristics of a sample of physiological and obstetric indicators are defined in patients with neurological complications of eclampsia; the specific features of frequency distributions of these indicators are revealed. The results of the study may suggest that the frequency of neurological complications of eclampsia is inversely related to age. The likelihood that a combination of young age and second labor confers the highest risk for neurological complications of eclampsia is high. The vast majority of women with neurological complications due to eclampsia have elevated diastolic blood pressure; however, the frequency distribution of systolic pressure does not give the same clear account. The analysis of the combined sample of cases of eclampsia with neurological complications permitted the areas and problems to be set off for such further investigations of this pathology.

About the authors

E M ShIFMAN

g p tikhova

s e floka

Ye M Shifman

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow

G P Tikhova

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow

S Ye Floka

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of the Russian Federation, Moscow

References

  1. AmataA.O. Blindness assosiatedwith severe reeclampsia / Eclampsia. Letter to editor // Anesth. and Analg. - 2001. - Vol. 93. - P. 1081.
  2. Anju R.S., Rakesh K.G., Arun K.D. et al. MR imaging, MR angiography, and MR spectroscopy of brain in eclampsia // Am. J. Neuroradiol. - 1997. - Vol. 18. - P. 1485-1490.
  3. Beeson J.H., Duda E.E. Computed axial tomography scan demonstration of cerebral edema in eclampsia preceded by blindness // Obstet. and Gynecol. - 1982. -Vol. 60, № 4. - P. 529-532.
  4. Belford M.A., Grunewald C., Saade G.R. et al. Preeclampsia may cause both overperfusion and underperfusion of brain // Acta Obstet. Gynecol. Scand. - 1999. - Vol. 78. - P. 586-591.
  5. Belfort M.A., Tooke-Miller C, Allen Jr. J.C. et al. Pregnant women with chronic hypertension and superimposed preeclampsia have high cerebral perfusion pressure // Br. J. Obstet. Gynaecol. - 2001. - Vol. 108. - P. 1141-1147.
  6. Borromeo C.J, Blike G.T., Wiley C.W., Hirsch J.A. Cortical blindness in preeclamptic patient after a cesarean delivery complicated by hypotension // Anesth. and Analg. - 2000. - P. 91. - P. 609-611.
  7. Chakravarty A., Chakrabarti S.D. The neurology of eclampsia: Some observations. <http://www.bioline>. org.br/
  8. Cipolla M.J. Cerebral function in pregnancy and eclampsia // Hypertension. - 2007. - Vol. 50. - P. 14.
  9. Coughlin W. F., McMurdo S. K., Reeves T. MR imaging of postpartum cortical blindness // J. Comput. Assist. Tomogr. - 1989. - Vol. 13, N 4. - P. 572-576.
  10. Cunningham F. Gary, Fernandez C.O., Hernandez C. Blindness associated with preeclampsia and eclampsia // Am. J. Obstet. Gynecol. - 1995. - Vol. 172. - P. 1291-1298.
  11. Cunningham F. Gary, Twickler D. Cerebral edema complicating eclampsia // Am. J. Obstet. Gynecol. - 2000. - Vol. 182, № 1, pt 1. - P. 94-100.
  12. Digre K.B., Varner M.W., Osborn A.G., Crawford S. Cranial magnetic resonance imaging in severe preeclampsia vs eclampsia // Arch Neurol. - 1993. -Vol. 50, № 4. - P. 399-406.
  13. Duncan R., Hadley D., Bone I. et al. Blindness in eclampsia: CT and MR imaging // J. Neurol. Neurosurg. Psychiatry. - 1989. - Vol. 52. - P. 899-902.
  14. EngelterS.T., Provenzale J.M., Petrella J.R. Assessment of vasogenic edema in eclampsia using diffusion imaging // Neuroradiology. - 2000. -Vol. 42, № 11. - P. 818- 820.
  15. Hindhey J., Chaves C, Appignani B. et al. A reversible posterior leukoencephalopathy syndrome // N. Engl. J. Med. - 1996. - Vol. 334. - P. 494-500.
  16. Jyotsana A.K.S., Sunil B. Reversible blindness in severe preeclampsia and eclampsia. Case report // JK Science. - 2004. - Vol. 6, № 1. - P. 43-45.
  17. Kirby J.C, Jaindl J.J. Cerebral CT findings in toxemia of pregnancy // Radiology. - 1984. - Vol. 151. - P. 114.
  18. Loi K., Khoo C.K., Tan K.H. A review of 93 cases of severe preeclampsia in Singapore: are there risk factors for complications? // Singapore Med. J. - 2007. - Vol. 48, № 9. - P. 808-812.
  19. Loureiro R., Leite C.C., Kahhale S. et al. Diffusion imaging may predict reversible brain lesions in eclampsia and severe preeclampsia: Initial experience // Am. J. Obstet. Gynecol. - 2003. - Vol. 189. - P. 1350-1255.
  20. Naheedy M.H., Biller J., Schiffer M. et al. Toxemia of pregnancy: cerebral CT findings // J. Comput. Assist. Tomogr. - 1985. - Vol. 9, № 3. - P. 497- 501.
  21. Naidu K., Moodly J., Corr P., Hoffmann M. Single photon emission and cerebral computerized tomographic and transcranial Doppler findings in eclampsia // BJOG. // Br. J. Obstet. Gynaecol. - 1997. - Vol. 104. - P. 1165-1172.
  22. Preeclampsia may cause both overperfusion and underperfusion of brain. Letter // Acta Obstet. Gynecol. Scand. - 2000. - Vol. 79. - P. 807-809.
  23. Richards A.M., Moodley J., Graham D.I., Bullock M.R. Active management of the unconscious eclamptic patient // Br. J. Obstet. Gynaecol. - 1986. - Vol. 93, № 6. - P. 554-562.
  24. Richards A.M., Graham D.I., Bullock M.R. Clinicopathological study of neurological complications due to hypertensive disorders of pregnancy // J. Neurol., Neurosurg. Psychiatry. - 1988. - Vol. 51. - P. 416-421.
  25. Sanders T.G., Clayman D.A., Sanchez-Ramos L. et al. Brain in eclampsia: MR imaging with clinical correlation // Radiology. - 1991. - Vol. 180. - P. 475-478.
  26. Schwartz R.B., Feske S.K., Polak J.F. Preeclampsia- eclampsia: Clinical and neuroradiographic correlates and insights into the pathogenesis of hypertensive encephalopathy // Radiology. - 2000. -Vol. 217. - P. 371-376.
  27. Sheedan H.L., Lynch J.B. Pathology of toxemia of pregnancy. - Baltimore, 1973.
  28. Takeuchi M., Matsuzaki K., Harada M. Cerebral hyperperfusion in patient with eclampsia with perfusion-weighted magnetic resonance imaging // Radiation Med. - 2005. - Vol. 23. - P. 376-379.
  29. Tomotake K., Kiyomi T., Futoshi M., Hitoo N. Diffusion-weighted images and vasogenic edema in eclampsia // Obstet. and Gynecol. - 1999. - Vol. 93, № 5, pt 2. -1999. - P. 821-823.
  30. Watanabe Y., Mitomo M., Tokuda Y.Eclamptic encephalopathy: MRI, including diffusion-weighted images // Neuroradiology. - 2002. - Vol. 44. - P. 981-985.
  31. Williams K.P., McLean C. Peripartum changes in maternal cerebral blood flow velocity in normotensive and preeclamptic patients // Obstet. andGynecol. - 1993. - Vol. 82. - P. 334-337.
  32. Witlin A.G., Friedman S.A., Egerman R.S. Cerebrovascular disorders complication pregnancy - beyond eclampsia // Am. J. Obstet. Gynecol. - 1997. - Vol. 176. - P. 1130-1138.
  33. Zeeman G.G., Fleckenstein J.L., Twickler D.M., Cunningham F.G. Cerebral infarction in eclampsia // Am. J. Obstet. Gynecol. - 2004. - Vol. 190. - P. 714-720.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies