Study of the imaging features of various neurological pathologies in post-partum period using MRI
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 4
Abstract
Introduction: Any neurological disorder during post-partum period could have serious consequences for mother and also for child as many of them are related with pregnancy. Neurological disorders contribute to approximately 20% of maternal deaths1. Symptoms and signs are nonspecific, and it can be difficult to differentiate between these conditions on clinical grounds alone. Aims and Objectives: To Study the imaging features of various neurological pathologies in post-partum period using MRI. Methodology: It was a cross sectional study of 40 patients done in tertiary care hospital. 1st November 2013 to 1st November 2015. The study was carried out on GE SIGNA HDxT 1.5 Tesla MRI machine. The studies were performed on GE SIGNA HDxT 1.5 Tesla MRI machine using HD8ch HiRes head coil. Result: Out of 24 patients of PRES, 4 patients were found to have PRES with infarct and 1 patient was found to have SAH. Total number of patients having cerebral venous sinus thrombosis was 10, out of which only 1 (10%) patients was without any neuro-parenchymal change however rest of the 9 (90%) patients were having neuro-parenchymal changes. Out of 10 patients of CVT, 9 patients were found multiple locations of thrombosis. Superior sagittal sinus (70%) was found the commonest sinus to be thrombosed followed by transverse sinus (60%). Blooming present in 25% and absent in 75% in Gradient/SWI Diffusion weighted imaging showed Presence of Restriction in 32.5% patients and absent in 67.5%. Conclusion: MRI is a key imaging modality in the evaluation of various pathologies of brain in post-partum patients with neurological complications owing to its superior contrast resolution, lack of ionizing radiation and in better characterization of lesions from imaging it is clear that not all post-partum neurological complications are not related to eclampsia and imaging plays an inevitable role for the diagnosis of array of various pathologies
Authors and Affiliations
Sandeep S Kavthale, Mahesh M Kadam, Mrudala Babar, Vikram Shewale
Keywords
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