Magnetic Resonance Imaging in Peripartum Encephalopathy: A Pictorial Review

Author:

Manjubashini Duraipandi1,Nagarajan Krishnan1,Amuthabarathi Mohan1,Papa Dasari2,Wadwekar Vaibhav3,Narayan Sunil K.3

Affiliation:

1. Department of Radio diagnosis, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) Puducherry, India

2. Department of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) Puducherry, India

3. Department of Neurology, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) Puducherry, India

Abstract

AbstractAcute neurological problems are significant disorders of pre- and postpartum period in women. We analyzed the magnetic resonance imaging (MRI) profile of patients presenting with peripartum encephalopathy over 2 years. Of 51 patients, MRI was abnormal in 40 patients and normal in 11 patients. Posterior reversible encephalopathy (13/40), cerebral venous thrombosis (6/40), and postpartum angiopathy (3/40) are the three most common causes of peripartum encephalopathy as identified in MRI. The other less common but important etiology include HELLP (Hemolysis, Elevated Liver enzymes and Low Platelet) syndrome (2), osmotic demyelination (2), antiphospholipid syndrome (2), tubercular meningitis/cerebritis (3), pituitary hyperplasia with hemorrhage (2), postictal edema (2), cerebellitis (1), transient splenial lesion (1), and changes of old trauma and stroke (one each).

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical),General Neuroscience

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