الفهرس 
PREECLAMPSIA AND ECLAMPSIAOnly 14 pages are availabe for public view
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Abstract
Background: Hypertensive disorders of pregnancy are a global cause of infant and mother mortality. Delivery of the child is the only effective treatment for severe preeclampsia (PE) and eclampsia. Currently, we assess central nervous system (CNS) involvement and proceed with pre-term delivery based on patient symptoms, neurologic exam, and, we do not have a tool to monitor disturbances in the brain function in order to prevent complications. PE by definition is a prodrome for eclampsia, making hypertension and proteinuria prerequisite for seizure during pregnancy. However, women who develop eclampsia exhibit a wide spectrum of signs and symptoms ranging from severe hypertension and proteinuria to mild or absent hypertension with no proteinuria.
Objective: to use EEG to monitor PE and eclampsia with clinical correlation.
Patients and Methods: The sample consisted of 35 cases (24 PE, 11 eclampsia) and 35 controls in Ain shams university hospitals from august 2019 to august 2022. Full history and clinical examination were done for both cases and controls.
Results: EEG for 25 minutes was done for both cases and controls. There were 14(40.0%) cases (9 cases eclampsia, 5 cases PE) with abnormal waves in from of parieto occpital polyspikes and slow waves, while in controls there was not abnormality. In PE cases with abnormal finding in EEG, the SBP was more than 160 mm Hg and DBP was more than 110 mm Hg), so PE cases with sever HTN are more risk to have brain insult.
Conclusion: pregnant women with PE and eclampsia were found to be more liable to have abnormal EEG waves with subsequent seizures. These changes were more in sever PE.