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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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