Neuroimaging in Eclampsia: A Correlation between CT Imaging and Neurological Presentation
Journal Title: Scholars International Journal of Obstetrics and Gynecology - Year 2018, Vol 1, Issue 4
Abstract
The objective of the study was to compare computed tomography (CT) imaging of patients with respect to neurological signs. This is a hospital based prospective observational study. 50 patients of eclampsia (both antepartum and postpartum) were studied. CT scan was performed within 48 hours of admission. Statistical analysis was done chi square test and unpaired student’s t test. In this study, of the 42 cases with CT scan abnormality, 39 women had neurological signs and symptoms and 3 cases did not have neurological signs and symptoms (p=0.000005). The sensitivity, specificity, positive predictive value and negative predictive value were found to be 92.85%, 75%, 95.12% and 66.66 % and the diagnostic accuracy was found to be 90%. CT scan of brain in eclampsia can provide useful intra cerebral information and should be done in cases with severe neurologic manifestations, if possible for every eclamptic mother. Further studies including diagnosis of specific neurological manifestations would emphasize the precise clinical presentations in women with eclampsia. Neuroimaging therefore, will help in modifying management protocol in eclampsia.
Authors and Affiliations
Dr. R. K. Talukdar, Dr. D. J. Gharphalia, Dr. Marami Das, Dr. Manali Jaishwal
Keywords
Related Articles
- EP ID EP541096
- DOI -
- Views 66
- Downloads 0
Malignant Struma Ovarii: A Case Report
Struma ovarii is an ovarien teratoma which predominantly contains thyroid tissue. Because of its rarety, the diagnosis and the managment of the tumour have not been clearly defined. We report a case of malignant papillar...
Specific Management of Maternal Sepsis and Its Outcome in a High Dependency Unit in a Tertiary Care Center -A Prospective Study
Sepsis is a clinical syndrome that complicates severe infection and is characterized by inflammation and widespread tissue injury. The clinical process usually begins with infection, which potentially leads to sepsis and...
Ultrasonographic Correlation of Fetal Thigh Circumference at 36-40 Weeks with Birth Weight
Estimated fetal weight has a great significance in obstetrical ultrasound, as this gives the information about fetal growth and assist in planning the mode of labour management. Various formulas are used for estimating t...
Caesarean Scar Pregnancy: A Case Report and the Review of Literature
Caesarean scar Pregnancy (CSP) implanted in the caesarean section scar is a rare location among ectopic pregnancies that can be life-threatening. It can be classified at the same level of gravity as the placenta accreta....
Clinical Presentation and Management of Puberty Menorrhagia at Tertiary Care Teaching Hospital
Abstract: Abnormal and heavy bleeding during menses is a one of the common menstrual abnormality during puberty and adolescence. Puberty menorrhagia is most often due to physiological immaturity of neuro hormonal mechani...