Nine cases of eclampsia seen in our hospital over the past 10 years

KINOSE Yasuto, YOSHIMURA Akihiko, FUJINO Ayaka, KOIZUMI Kaori, NAKAMURA Koji, KAKIGANO Aiko, WATANABE Keiko, SHIMAZU Miki, NAKATSUJI Yuki, MASUHARA Kanji, NOBUNAGA Toshikatsu

doi:10.11437/sanpunosinpo.64.106

Synopsis We conducted a retrospective study of nine patients with eclampsia who were seen at our hospital from January 2001 through December 2010. The following clinical parameters were analyzed: 1) time interval from diagnosis of PIH to emergence of eclampsia; 2) mode of magnesium sulfate administration. Six out of the nine patients developed eclampsia in less than 24 hours following a diagnosis of PIH, one as early as one hour later. In two of the cases eclampsia developed in spite of magnesium sulfate administration. This may have occurred because the PIH had progressed too quickly before an effective concentration of magnesium sulfate could be achieved. Once eclampsia developed, a brain CT scan was able to be performed before delivery in only one case. Because eclampsia usually occurs so shortly after development of PIH, it is essential to make a diagnosis of PIH quickly and start magnesium sulfate administration as early as possible. Although a brain CT scan would be informative in distinguishing eclampsia from cerebral hemorrhage, it is not always possible to perform a CT scan before delivery because, in practice, treatment for fetal distress would be the first priority. [Adv Obstet Gynecol, 64 (2) : 106-113, 2012 (H24.5) ]

Nine cases of eclampsia seen in our hospital over the past 10 years

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Nine cases of eclampsia seen in our hospital over the past 10 years

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