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Guardance Intructor: Dedy Respianto. Akademic IC Rangga Husada 2010/2011
Guardance Intructor: Dedy Respianto. Akademic IC Rangga Husada 2010/2011
Guardance Intructor: Dedy Respianto. Akademic IC Rangga Husada 2010/2011
Background
Preeclampsia/eclampsia is a complex
pregnancy-specific hypertensive syndrome of
reduced organ perfusion related to vasospasm
and activation of the coagulation cascade
affecting multiple systems. The nervous system is
commonly affected and is a cause of significant
morbidity and death in these women.
Preeclampsia and eclampsia are not
distinct disorders but are differentiated
according to their clinical symptoms. The
mildest disorder in this continuum is
pregnancy-induced hypertension (PIH). In
preeclampsia, hypertension and proteinuria
are present, and when convulsions occur in
addition to these signs, the condition is
referred to as eclampsia. Although seizures
define the condition of eclampsia, other
neurologic findings may be observed earlier
in the continuum of
PIH/preeclampsia/eclampsia. The
Preeklamsia and eklamsia
Pathophysiology
Frequency United States
International
Mortality/Morbidity
Race
Age
History
History
Next….
Headache
Seizures
Visual disturbances
Coma
Symptoms of focal brain dysfunction
Edema
Weight gain
Abdominal pain
Abdominal pain
Next…
Physical
Abdominal tenderness
Neurologic Examination
Hyperreflexia
Blindness
FunFocal neurologic findings
duscopic examination
Coma
Cognitive dysfunction