| Electroencephalography during normotensive and hypertensive pregnancy: a systematic review. | |
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MedLine Citation:
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PMID: 21411024 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The objective of this review was to evaluate the available medical literature concerning the electroencephalogram (EEG) during hypertensive disorders of pregnancy. All articles found during a MEDLINE and Embase database search on the subject of EEG differences associated with hypertensive disorders in pregnancy were screened for eligibility. In all, 22 articles which describe the EEG during preeclampsia (PE)/eclampsia were retrieved. Abnormal EEG findings were observed in the majority of the preeclamptic/eclamptic patients, consisting of slow waves most frequently localized in the occipital lobe, as well as spike discharges. The EEG abnormalities in PE/eclampsia were reversible in the majority of the cases. We conclude that these described abnormalities may be interpreted as a warning sign of deterioration of brain function in PE/eclampsia. However, some caution regarding this conclusion is advised because most of the retrieved articles were published in the 1950s and 1960s, and were not consistent with current clinical guidelines or medical terminology. Further research is needed to establish the clinical value of implementing EEGs in the assessment of the preeclamptic/eclamptic patient. Target Audience: Obstetricians & Gynecologists, Neurologists, Family Physicians Learning Objectives: After completion of this educational activity, the obstetrician, gynecologist and neurologist should be better able to evaluate whether the EEG is normal for pregnancy; distinguish EEG abnormalities in hypertensive disorders in pregnancy, and assess the value of EEG abnormalities in preeclampsia (PE)/eclampsia for the detection of early signs of ischemia. |
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Authors:
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Ingrid A Brussé; Nina C J Peters; Eric A P Steegers; Johannes J Duvekot; Gerhard H Visser |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Obstetrical & gynecological survey Volume: 65 ISSN: 1533-9866 ISO Abbreviation: Obstet Gynecol Surv Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2011-03-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401007 Medline TA: Obstet Gynecol Surv Country: United States |
Other Details:
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Languages: eng Pagination: 794-803 Citation Subset: IM |
Affiliation:
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*Consultant, †Resident, ‡Head and Consultant, Division of Obstetrics and Prenatal Medicine, Department of Obstetrics and Gynecology, Erasmus Medical Centre, University Medical Centre Rotterdam, Rotterdam, The Netherlands; and §Head and Consultant, Division of Clinical Neurophysiology, Department of Neurology, Erasmus Medical Centre, University Medical Centre Rotterdam, Rotterdam, The Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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