Neurological Disorders Associated with Pregnancy: A Hospital Based Imaging Study of 57 Cases in North-East India
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2015, Vol 8, Issue 1
Abstract
Aims: To evaluate and characterize the Computed Tomography and Magnetic Resonance Imaging findings of the various neurological conditions of the central nervous system and pituitary gland that can occur during pregnancy and post partum period. Place and Duration of Study: The study was carried out in the Department of Radiology, Gauhati Medical College and Hospital, Guwahati, from August 2012 to July 2013. Methodology: A total of 57 patients of neurological disorders of the central nervous system and pituitary gland associated with pregnancy, who were referred to the Department for radiological evaluation and who had positive imaging findings were taken up for the study. CT scan was performed in those cases referred for imaging. For further evaluation, cases were referred to MRI or wherever possible, cases were directly referred for MRI. Contrast CT was avoided in most of the cases. Results: Out of 57 patients, 54.39% patients were in age between 20 to 30 years. Headache was the most common presenting complaint (71.93%) in all the neurological disorders. Hypertensive encephalopathy (40.35%) was the most common neurological disorder followed by Cerebral Venous Thrombosis (17.54%). Infarct was the commoner complication of hypertensive encephalopathy accounting for 21.74% of cases. Magnetic resonance was able to detect infarct in 21.74% of cases compared to CT which could detect infarct in 13.04% of cases. P value 0.3534 and sensitivity 72%, 95% Confidence Interval 0.46 to 0.90 with negative predictive value 50% with 95% Confidence Interval 0.18 to 0.81. Conclusion: Both CT and MRI can depict the characteristic imaging features of these neurological disorders in pregnancy as well as development of complications, hence leading to early and prompt diagnosis of these disorders and better management of these patients.
Authors and Affiliations
Dipu Bhuyan, Priyanka Baishya, Pradipta Ray Choudhury
Community Knowledge, Attitude, Awareness and Protective Practices Regarding Malaria in Mewat and Rohtak Districts of Haryana, India
Community Knowledge, Attitude, Awareness and Protective Practices Regarding Malaria in Mewat and Rohtak Districts of Haryana, India Aim: Mosquito borne diseases especially malaria is a serious public health problem in th...
FGF21 Prospects for Applications in Clinical Practice
History of FGF21: FGF21, firstly identified in 2000, was reported as a novel endocrine metabolic regulator in 2005. FGF21 has attracted great attention for its therapeutic potentials, because it has strong influence on m...
Case Report: Suprachoroidal Catheterization “ab-interno” for Treatment of Open Angle Glaucoma: “BABLY TECHNIQUE”
A cataractous and open angle glaucomatous right eye of a 60 year old man was surgically treated in a different way. First, phacoemulsification with posterior chamber intraocular lens was done, then, under gonioscopy, I t...
Indices of Cardiovascular Diseases and Malaria Parisitemia amongst Solid Waste Disposal Workers in Port Harcourt Nigeria
The aim of this study was to evaluate the health risks of solid waste disposal workers and scavengers, involved in the handling and disposal of municipal wastes, especially their cardiovascular health. The study was carr...
Evaluation of Brain Lesions Using Magnetic Resonance Spectroscopy
Aims: This study designed to describe the spectrum of Magnetic Resonance in brain lesions and to show its diagnostic importance in differentiating neoplastic, non-neoplastic and other lesions. Also to show the importance...