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VOLUME 20 , ISSUE 3 ( 2016 ) > List of Articles

CASE REPORT

Brain lesions in eclampsia: A series of 39 cases admitted in an Intensive Care Unit

Y. Brouh, Konan Kouassi Jean, A. Ouattara, Y. Tétchi, Y. Pete, N. Koffi, C. Abhé, M. Kane

Keywords : Brain computed tomography, brain lesions, eclampsia, HELLP syndrome

Citation Information : Brouh Y, Jean KK, Ouattara A, Tétchi Y, Pete Y, Koffi N, Abhé C, Kane M. Brain lesions in eclampsia: A series of 39 cases admitted in an Intensive Care Unit. Indian J Crit Care Med 2016; 20 (3):178-181.

DOI: 10.4103/0972-5229.178183

License: CC BY-ND 3.0

Published Online: 01-10-2013

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

The aim of this study was to identify the encephalic lesions in the eclampsia occurrences. Within a period of 18 months, computed tomography (CT) of the brain was performed in all patients admitted in intensive care for eclampsia. These CTs were analyzed and intracerebral lesions were identified. Thirty-nine patients were included. We noted 10 cases of ischemic stroke, 9 cases of cerebral edema, and 3 cases of hemorrhagic stroke and subarachnoid hemorrhage. The CT scan came back to normal in 20 eclamptic patients. Overall, delays in obstetric and intensive care and time of completion of the CT were long. CT has allowed highlighting in patients with eclampsia varied intracerebral lesions. The early performance of the CT is therefore essential for a better support of patients.


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  1. Bushnell C, Chireau M. Preeclampsia and Stroke: Risks during and after Pregnancy. Stroke Res Treat 2011;2011:858134.
  2. French Society of Anesthesia and Resuscitation: Management of Severe Pre-eclampsia. Experts′ Conference 2000 Modified in 11 th April, 2013. Available from: http://www.sfar.org. [Last accessed on 2014 Nov 14].
  3. SFAR/CNGOF/SFMP/SFNN: Multidisciplinary management of severe pre-eclampsia(PE) experts′ quidelines 2008. In Ann Fr Anesth Réan 2009;28:275-81.
  4. Amonkou A, Soro L, Diabaté F, Amani Y. Anesthessia for eclampsia. In Médecine d′Afrique Noire 2009;56:13.
  5. Beye MD, Diouf E, Kane O, Ndoye A, Seydi A, Ndiaye Pl, Intensive care management of 28 patients with severe eclampsia in a tropical African setting. In Ann Fr Anesth Reanim 2003;22:25-9.
  6. Treadwell SD, Thanvi B, Robinson TG. Stroke in pregnancy and the puerperium. Postgrad Med J 2008;84:238-45.
  7. Jaigobin C, Silver FL. Stroke and pregnancy. Stroke 2000;31:2948-51.
  8. Harandou M, Madani N, Labibe S, Messouak O, Boujraf S, Benkirane S, Neuroimaging findings in eclamptic patients still symptomatic after 24 hours: A descriptive study about 19 cases. Ann Fr Anesth Reanim 2006;25:577-83.
  9. Kang JH, Lin HC. Stroke during pregnancy: No increased risk of preterm delivery and low birth weight, a nationwide case-controlled study. J Neurol Neurosurg Psychiatry 2010;81:1211-4.
  10. Warrington JP, George EM, Palei AC, Spradley FT, Granger JP. Recent advances in the understanding of the pathophysiology of preeclampsia. Hypertension 2013;62:666-73.
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