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Volume 8 Issue 1 (January, 2020)

Original Articles

Clinicoradiological profile of cerebrovascular disease in hypertensive disease of pregnancy
Jatinder Kochhar, Divya Soin, Lajya Devi Goyal, Simmi Aggarwal, Ravinder Garg, Paramdeep Singh, Himanshu Khutan

Background: Hypertension in pregnancy has long been recognized as a risk factor for cerebrovascular, cardiac, and renal complications occurring during pregnancy and immediately postpartum. For evaluation of cerebrovascular disease, several imaging studies are available to evaluate the parenchyma, vessels, and extraparenchymal spaces, including computed tomography (CT) with or without ionic contrast, CT angiography or CT venography, magnetic resonance imaging with or without contrast, magnetic resonance angiography, or magnetic resonance venography. The present was done study to assess the clinic-radiological outcome of cerebrovascular diseases in peripartum females. Material and methods: This prospective observational study was carried out on 50 antenatal and postnatal women in the department of Medicine in collaboration with Obstetrics and Gynaecology and Radiodiagnosis department of GGS medical college & hospital. Obstetric data such as parity, antenatal care, gestational age at the onset of symptoms and the presence of complications like Preeclampsia, eclampsia, anemia, and sepsis were noted. Results: Amongst 50 patients, 35 patients had normal MRI/ CT findings. 15 patients reported with MRI/ CT findings such as Posterior Reversible Encephalopathy Syndrome, Multiple Embolic Infarcts With Haemorrhagic Transformation, Intracerebral Hemmorhage, Infarct In Occipital Lobe, Subarachnoid Haemorrhage, Infarct in Basal Ganglia, Intracranial Haemorrhage with Interventricular Haemorrhage, Basal Ganglia Calcification, Acute Infarct With Haemorrhagic Transformation In Right Frontoparietal Lobe And Insula and Cerebral Vein Thrombosis. The maximum numbers of MRI/ CT findings were seen in grade III hypertension. The result was significant at p <0.05. Conclusion: Hypertension has emerged as an important risk factor for the occurrence of cerebrovascular disease; therefore, attention should be focussed on rapid control of hypertension and maintaining normotension in the peripartum period. Key words: cerebrovascular disease, Hypertension in pregnancy, Intracerebral Hemmorhage.

 
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