Intracerebral Changes Detected by CT scan of Brain in Eclampsia

Abstract

Objective To evaluate the different neurological changes in brain in eclampsia by CT scan in relation to neurologic symptoms Method This is prospective observational study in a tertiary hospital CT scan of brain is performed within 48 hours of eclampsia after confinement of fetus and after stabilising the mother with standard MgSO4 protocol The CT scans of brain are performed with 5mm and 10mm section in the axial plain Results CT scan of brain shows 31 6 has cerebral edema 23 7 have cerebral infract 7 9 have cerebral haemorrhage while 36 8 have no detectable findings Parietal region of the brain is affected in 67 followed by parieto-occipital area 17 occipital area 8 and brain stem 8 68 4 mothers have headache 18 4 have visual disturbances 34 2 have altered sensorium with hyper-reflexia and 36 6 have coma Conclusion CT scan of brain in eclampsia can provide useful intracerebral information and should be done in cases with severe neurologic manifestations if possible for every eclamptic mother