Published June 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue6,Article155.pdf
Journal article Open

Magnetic Resonance Imaging in NeurologicalDisorders in the Postpartum Period

  • 1. Senior Resident, Department of General Medicine, IGIMS, Patna
  • 2. Associate Professor, Department of General Medicine, IGIMS, Patna

Description

Background and Objectives: Pregnancy and puerperium is a critical period where many physiological changes take place involving various systems. These changes can result in neurological and hemodynamic disturbances and may sometimes lead to serious adverse effects if prompt treatment is not undertaken. To evaluate the neurological disorders that occur during the puerperal period using magnetic resonance imaging, To identify the imaging features that characterise each of these disorders and correlate with clinical picture. Material and Methods: Fifty post partum patients with clinical suspicion of neurological disorders referred to the Department of General Medicine, IGIMS, Patna.  Study duration of two years. underwent MRI of brain. The main source of data for the study were patients from IGIMS Patna. Conclusion: MRI was found to be a key modality to evaluate various neurological disorders and to arrive at an accurate diagnosis. Characterization of the lesions and awareness of the common diseases during puerperium will help the clinician arrive at an informed differential diagnosis. MRI is a non-invasive imaging modality with no radiation hazard, excellent resolution and multiplanar imaging capability.

 

 

Abstract (English)

Background and Objectives: Pregnancy and puerperium is a critical period where many physiological changes take place involving various systems. These changes can result in neurological and hemodynamic disturbances and may sometimes lead to serious adverse effects if prompt treatment is not undertaken. To evaluate the neurological disorders that occur during the puerperal period using magnetic resonance imaging, To identify the imaging features that characterise each of these disorders and correlate with clinical picture. Material and Methods: Fifty post partum patients with clinical suspicion of neurological disorders referred to the Department of General Medicine, IGIMS, Patna.  Study duration of two years. underwent MRI of brain. The main source of data for the study were patients from IGIMS Patna. Conclusion: MRI was found to be a key modality to evaluate various neurological disorders and to arrive at an accurate diagnosis. Characterization of the lesions and awareness of the common diseases during puerperium will help the clinician arrive at an informed differential diagnosis. MRI is a non-invasive imaging modality with no radiation hazard, excellent resolution and multiplanar imaging capability.

 

 

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Additional details

Dates

Accepted
2024-05-25

References

  • 1. Philips E, Samuels P. Neurological disorders in pregnancy. In: Gabbe SG, Niebyl JR, editors. Gabbe's Textbook of Obstetrics Normal and Problem pregnancies, 7th Ed. Elsevier ; 20 17 : 1030-57 2. Zak TI, Dulai HS, Kish KK. Imaging of Neurologic Disorders Associated with Pregnancy and the Postpartum Period. Radio Graphics. 2007; 27:95-108. 3. Kavthale SS, Kadam MM, Babar M, Shewale V. Study of the imaging features of various neurological pathologies in post-partum period using MRI. MedPulse – International Medical Journal. 2016 April; 3(4):418-422. 4. Hacein-Bey L, Varelas PN, Ulmer JL, Mark LP, Raghavan K, Provenzale JM. Imaging of cerebrovascular disease in pregnancy and the puerperium. American Journal of Roentgenology. 2016 Jan; 206(1):26-38. 5. DC Duttas. Textbook of Obstetrics, Seventh Edition, Kolkata, New Central Book Agency (P) Limited, 2011. Chapter 13: Normal Puerperium; 144-153 6. Hosley CM, McCullough LD. Acute neurological issues in pregnancy and the peripartum. Neurohospitalist 2011;1 (2):104–116. 7. Edlow JA, Caplan LR, O'Brien K, Tibbles CD. Diagnosis of acute neurological emergenciesin pregnant and post-partum women. Lancet Neurol 2013;12(2):175–185. 8. Quantitative estimation of human uterine artery blood flow and pelvic blood flowredistribution in pregnancy. Palmer SK, Zamudio S, Coffin C, Parker S, Stamm E, Moore LG Obstet Gynecol. 1992 Dec; 80(6):1000-6. 9. Incidentally detected thrombocytopenia in healthy mothers and their infants.Burrows RF, Kelton JG N Engl J Med. 1988 Jul 21; 319(3): 142-5. 10. Stella CL, Jodicke CD, How HY, Harkness UF, Sibai BM. Postpartum headache: is your work-up complete Am J Obstet Gynecol 2007; 196: 318. 11. Hui FK, Obuchowski NA, John S, Toth G, Katzan I, Wisco D, Cheng-Ching E, Uchino K, Man SM, Hussain S. ASPECTS discrepancies between CT and MR imaging: analysis andimplications for triage protocols in acute ischemic stroke. Journal of neurointerventional surgery. 2017 Mar 1;9(3):240-3. 12. Lin L, Bivard A, Krishnamurthy V, Levi CR, Parsons MW. Whole-brain CT perfusion to quantify acute ischemic penumbra and core. Radiology. 2016 Jan 18;279(3):876-87. 13. Al-Hayali RM, Al-Habbo DJ, Hammo MK. Peripartum neurological emergencies in aCritical Care Unit. Neurosciences. 2008 Apr 1; 13 (2):155-60. 14. Mathews TJ, Hamilton BE. Mean age of mother, 1970–2000. National vital statisticsreports. 2002 Dec 11;51(1):1-4. 15. Shah AK. Non-aneurysmal primary subarachnoid hemorrhage in pregnancy-induced hypertension and eclampsia. Neurology 2003;61(1): 117–120. 16.Naveen T, Krishna GR, Vengamma B, Dayakar D, Dushyanth J. Clinical manifestations, radiological findings and outcome in cerebral vein and dural sinus thrombosis: a prospective study. Journal of Evidence based Medicine and Healthcare. 2015Sep 28;2(39):6171-81. 17. Skidmore FM, Williams LS, Fradkin KD, Alonso RJ, Biller J. Presentation, etiology, and outcome of stroke in pregnancy and puerperium. Journal of Stroke and CerebrovascularDiseases. 2001 Jan 1;10(1):1-0.