J Korean Neurol Assoc > Volume 19(5); 2001 > Article

Journal of the Korean Neurological Association 2001;19(5): 537-540.

자간증 1예 :비가역적인 신경학적 장애와 뇌영상 소견

정부, 김현영 고성호 이규용 이영주 김주한

한양대학교 의과대학 신경과학교실

"A Case of Eclampsia : Irreversible Neurological Deficits and Neuroimaging Findings"

"Boo Chung, M.D., Hyun-Young Kim, M.D., Seong-Ho, Koh M.D., Kyu-Yong Lee, M.D., Young Joo Lee, M.D., Juhan Kim, M.D."

Department of Neurology, Hanyang University Hospital

Abstract

"Eclampsia and hypertensive encephalopathy share similar pathophysiological mechanisms, which present as vaso-genic edema and vasospasm. In majority of the patients, neurologic manifestations are reversible. A 31-year-old preg-nant woman in her 40 weeks of gestation developed repeated attacks of seizure and confused mentality. As conscious-ness improved, multiple neurologic deficits were detected. Cerebral angiography a showed diffuse vasospasm. Six months later, neurologic manifestations were partially recovered. We report a rare case of eclampsia with irreversible neurologic deficits, in which cerebral vasospasm was confirmed by an angiography. J Korean Neurol Assoc 19(5):537~540, 2001 Key Words : Eclmapsia, Hypertensive encephalopathy, Cerebral angiography"