Unusual Computed Tomographic Scan in Eclampsia

Abstract

Several excellent postmortem series offering clinicopathologic correlation of eclampsia have been published^1-4; 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