CT Head Findings In Patients Of Eclampsia In A Tertiary Care Centre - A Prospective Observational Study

Abstract

Objective: To evaluate the different neurological changes in brain by CT scan in eclampsia patients.Method: This was a prospective observational study conducted in a tertiary hospital. Patients of eclampsia admitted at SMGS hospital, GMC Jammu underwent CT scan head within 48 hours of eclampsia after administering standard MgSO4 protocol.Results: Out of 100 patients in the present study, 40 patients did not show any abnormality in the CT findings. In 60 patients the abnormality in the CT findings differed significantly. Most commonly abnormality was recorded as vasogenic edema (46.6%) followed by cerebral infarct (25%) and cerebral edema (6.66%). 2 cases of subdural hematoma were found. Subarachnoid hemorrhage were recorded in one patient each. With regard to the relationship between eclampsia and CT abnormalities it was found that maximum abnormalities were recorded in antepartum while postpartum and imminent recorded equal number of abnormalities and no case of intrapartum eclampsia was seen. Further it was noticed that parieto-occipital region of the brain was mostly affected which was followed by occipital and frontal while temporal and basal ganglia regions were least affected.Conclusion: So we concluded that CT head of eclampsia patients should be done which may help in modifying the treatment protocol.