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

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.

Stroke in a Retrospective Cohort of Patients with Eclampsia

“…The presentation of stroke alone prevailed over the combinations (58.33% vs 41.66%), the proportion was 1.4. The stroke combinations in the same patient has also been reported by Harandou, [18] Jaigobin et al [23] and Brouh et al [24]. The comparison of the hemodynamic and clinical laboratory data did not show any substantive difference to explain the clinical behavior of stroke (Tables 2 and 4).…”

“…The location of the lesions varied: parietal, parietal-frontal, parieto-frontooccipital, occipital, and in the territory of the middle cerebral artery. Brouh et al [24] and Beye et al [25] did not identify venous lesions, in the present investigation the stroke of venous origin appeared in a significant percentage of cases 41.66%, thrombosis of the superior longitudinal sinus was the only site of venous lesion. Coutinho et al [9] carried out a systematic review of venous stroke in both women and men and concluded that its incidence is higher in women, the difference lies in the complications of pregnancy and puerperium.…”

Hemolysis, Elevated Liver Enzymes, and Low Platelets, Severe Fetal Growth Restriction, Postpartum Subarachnoid Hemorrhage, and Craniotomy: A Rare Case Report and Systematic Review

“…A very rare complication is DIC and/or postpartum subarachnoid hemorrhage can transpire in a patient with HELLP syndrome undergoing spinal anesthesia. Though experimental, a bolus of remifentanil has shown promising effects but is limited due to the risk of neonatal depression [5,29,30]. The diagnosis is clinically based, with the added combination of CT visualization of increased density within regions of the brain, leading to a correlated diagnosis showing vascular brain bleeds in conjunction with neurological deficits [9,17].…”

Hemolysis, Elevated Liver Enzymes, and Low Platelets, Severe Fetal Growth Restriction, Postpartum Subarachnoid Hemorrhage, and Craniotomy: A Rare Case Report and Systematic Review

“…A very rare complication is DIC and/or postpartum subarachnoid hemorrhage can transpire in a patient with HELLP syndrome undergoing spinal anesthesia. Though experimental, a bolus of remifentanil has shown promising effects but is limited due to the risk of neonatal depression [ 5 , 29 , 30 ]. The diagnosis is clinically based, with the added combination of CT visualization of increased density within regions of the brain, leading to a correlated diagnosis showing vascular brain bleeds in conjunction with neurological deficits [ 9 , 17 ].…”