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January 1982

Unusual Computed Tomographic Scan in Eclampsia

Author Affiliations

From the Department of Neurology, University of Arizona Health Sciences Center, Tucson.

Arch Neurol. 1982;39(1):66. doi:10.1001/archneur.1982.00510130068022

Several excellent postmortem series offering clinicopathologic correlation of eclampsia have been published1-4; however, to our knowledge the literature contains no reports of clinicopathologicoradiologic correlation of this condition. On this basis, we wish to report a recent case from our hospital.

REPORT OF A CASE  A 31-year-old woman (gravida 1, para O, abortus 0) was transferred to the University of Arizona Health Sciences Center, Tucson, following her first grand mal seizure. Prenatal care had consisted of a visit to an outlying hospital six weeks before.On the basis of hypertension, edema, neurologic signs, and proteinuria, a diagnosis of eclampsia was made; she was immediately transferred. On arrival she was stuporous. Blood pressure (BP) was 150/ 110 mm Hg. The neck was supple. Muscle stretch reflexes were hyperactive. Plantar responses were flexor. General examination revealed mild facial and lower-extremity edema and a uterus typical of a 32-week gestation. Urinalysis showed moderate

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