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Delayed Peripartum Vasculopathy:Cerebral Eclampsia Revisited
Ann Neurol 33:222-225, Raps,E.C.,et al, 1993
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Article Abstract
Over a 2-year period,we treated 4 postpartum patients with acute neurologic problems appearing 4 to 9 days after delivery.Three patients either had no proteinuria or edema and therefore did not meet all accepted clinical criteria for the diagnosis of eclampsia.Magnetic resonance imaging(MRI)of the brain in all patients demonstrated high-signal foci most prominent in the parietooccipital regions and the subcortical white matter.Cerebral angiogram in 2 patients revealed diffuse vasospasm.In 3 patients,MRI abnormalities in our patients are identical to those of patients meeting accepted criteria for eclampsia.Our experience suggests that the current criteria for the diagnosis of eclampsia are too stringent,both in terms of clinical picture and days postpartum to cerebral manifestations.
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angiography,cerebral
cerebrovascular accident
eclampsia
eclampsia,postpartum
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MRI,disappearing lesion on
postpartum
postpartum cerebral angiopathy
pregnancy,neurologic complications in
proteinuria
seizure
vasospasm,cerebral
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