Assessment of vasogenic edema in eclampsia using diffusion imaging.

Journal Article (Journal Article)

We qualitatively assessed the regional distribution of vasogenic edema in a case of postpartum eclampsia. Although diffusion-weighted imaging showed no abnormalities, bilateral high signal was seen on T2-weighted images and apparent diffusion coefficient (ADC) maps. ADC of 1.45 +/- 0.10 mm2/s x 10(-3) for the posterior cerebral artery (PCA) territory and 1.22 +/- 0.12 mm2/s x 10(-3) for the watershed areas were significantly higher than those in the territories of the anterior (0.85 +/- 0.07 mm2/s x 10(-3) and middle cerebral (0.79 +/- 0.06 mm2/s x 10(-3)) arteries (P < 0.05). The predilection of ADC changes within the PCA territory and in a previously undescribed watershed distribution supports the hypothesis that vasogenic edema in eclampsia is due to hypertension-induced failure of vascular autoregulation.

Full Text

Duke Authors

Cited Authors

  • Engelter, ST; Provenzale, JM; Petrella, JR

Published Date

  • November 2000

Published In

Volume / Issue

  • 42 / 11

Start / End Page

  • 818 - 820

PubMed ID

  • 11151687

International Standard Serial Number (ISSN)

  • 0028-3940

Digital Object Identifier (DOI)

  • 10.1007/s002340000439

Language

  • eng

Conference Location

  • Germany