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Ultra-Early Magnetic Resonance Imaging Findings of Eclampsia
Kazuma Nakagawa, MD;
Farzaneh A. Sorond, MD, PhD;
Allan H. Ropper, MD
Arch Neurol. 2008;65(7):974-976.
Objective To report the very early magnetic resonance imaging features of eclampsia.
Design Case report.
Setting Inpatient neurology service.
Patient A 35-year-old woman who developed late postpartum eclampsia with cerebral edema, caudate hemorrhage, and ischemic strokes.
Main Outcome Measure Very early magnetic resonance imaging features.
Results Magnetic resonance imaging with gadolinium showed posterior sulcal hyperintensity and leptomeningeal enhancement preceding the development of posterior reversible encephalopathy syndrome, hemorrhage, and ischemic strokes by days.
Conclusion Magnetic resonance imaging with gadolinium shows early characteristic findings that precede the more classic clinical presentation of eclampsia.
Author Affiliations: Stroke Division, Department of Neurology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Dr Nakagawa is now with the University of California, San Francisco.
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