Is high cerebral perfusion pressure and cerebral flow predictive of impending seizures in preeclampsia? A case report

被引:8
作者
Belfort, MA
机构
[1] Univ Utah, Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Salt Lake City, UT 84132 USA
[2] HLA Perinatal Res Ctr, Nashville, TN USA
关键词
transcranial Doppler ultrasound; estimated cerebral perfusion pressure; cerebral flow index; eclampsia; hypertensive encephalopathy;
D O I
10.1081/PRG-200045776
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Transcranial Doppler ultrasound was used to demonstrate elevated estimated cerebral perfusion pressure (CPP) and cerebral flow index (CFI) in a preeclamptic patient. She subsequently developed eclampsia. After magnesium sulfate therapy her CPP and CFI were within the normal range and she did not experience further seizures. This finding suggests that cerebral overperfusion may be at least one of the etiologies involved in the pathogenesis of eclampsia.
引用
收藏
页码:59 / 63
页数:5
相关论文
共 3 条
[1]   Preeclampsia may cause both overperfusion and underperfusion of the brain - A cerebral perfusion based model [J].
Belfort, MA ;
Grunewald, C ;
Saade, GR ;
Varner, M ;
Nisell, H .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1999, 78 (07) :586-591
[2]   Changes in flow velocity, resistance indices, and cerebral perfusion pressure in the maternal middle cerebral artery distribution during normal pregnancy [J].
Belfort, MA ;
Tooke-Miller, C ;
Allen, JC ;
Saade, GR ;
Dildy, GA ;
Grunewald, C ;
Nisell, H ;
Herd, JA .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2001, 80 (02) :104-112
[3]   Persistence of cerebral hemodynamic changes in patients with eclampsia: A report of three cases [J].
Williams, KP ;
Wilson, S .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1999, 181 (05) :1162-1165