Cortical blindness in severe preeclampsia: computed tomography, magnetic resonance imaging, and single-photon-emission computed tomography findings.


BACKGROUND:Cortical blindness is a complication of severe preeclampsia, but it is unclear whether it results from cerebral vasospasm and ischemic injury or vasogenic (hydrostatic) edema due to increased capillary permeability. CASE:Reversible cortical blindness in a 33-year-old gravida 2, para 1, with severe postpartum preeclampsia after evacuation of a partial molar pregnancy at 19 weeks' gestation is presented. Initial neuroimaging studies showed hyperperfusion on head single-photon-emission computed tomography scan, which corresponded with lesions found on head computed tomography and magnetic resonance imaging scans. Follow-up neuroimaging studies 2 weeks later, by which time the patient's visual acuity had returned to normal, showed complete resolution of radiologic abnormalities. CONCLUSION:Neuroimaging studies in a woman with severe postpartum preeclampsia complicated by reversible cortical blindness showed that blindness resulted from vasogenic (hydrostatic) cerebral edema and not cerebral vasospasm.


Obstet Gynecol


Apollon KM,Robinson JN,Schwartz RB,Norwitz ER




Has Abstract


2000-06-01 00:00:00




6 Pt 2










  • Electrical accidents during pregnancy.

    abstract::Electrical accidents during pregnancy are relatively infrequent, and reports are rare. Six pregnant women who suffered an electrical injury during pregnancy are presented here. For all, the current path through the body was from hand to foot. Changes that occurred in fetal movements and development as well as the outc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Leiberman JR,Mazor M,Molcho J,Haiam E,Maor E,Insler V

    更新日期:1986-06-01 00:00:00

  • Conservative management of a bleeding renal angiomyolipoma in pregnancy.

    abstract:BACKGROUND:Bleeding angiomyolipomas in pregnancy are rare but may be devastating and potentially fatal. In previous cases, most of these lesions have been managed with urgent nephrectomy or embolization. Only one other case report describes treating these lesions through conservative management and vaginal delivery. C...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Storm DW,Mowad JJ

    更新日期:2006-02-01 00:00:00

  • Long-term clinical and urodynamic evaluation of the polytetrafluoroethylene suburethral sling for treatment of genuine stress incontinence.

    abstract:OBJECTIVE:To assess long-term clinical and urodynamic outcomes of suburethral sling procedures using polytetrafluoroethylene grafts. METHODS:Between January 1986 and May 1991, 108 women underwent suburethral sling placement to treat genuine stress incontinence. At least 1 year after surgery, 62 women participated in a...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章


    authors: Weinberger MW,Ostergard DR

    更新日期:1995-07-01 00:00:00

  • A 5-year residency curriculum in obstetrics, gynecology, and family medicine.

    abstract:OBJECTIVE:To develop a curriculum for residents in obstetrics and gynecology that also provides training in family medicine. METHODS:We designed a 5-year curriculum with 36 months of obstetrics and gynecology, 12 of which are as chief resident, with a 4-month rotation through family medicine to meet the primary care r...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Mann WJ Jr,Bruder K,Frazier C,Evans P

    更新日期:1999-08-01 00:00:00

  • Association Between First-Trimester Subchorionic Hematomas and Pregnancy Loss in Singleton Pregnancies.

    abstract:OBJECTIVE:To assess the association of a first-trimester subchorionic hematoma with pregnancy loss in women with singleton pregnancies. METHODS:We conducted a retrospective cohort study of all women with singleton pregnancies presenting for prenatal care before 14 weeks of gestation over a 3-year period at a single ob...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Naert MN,Khadraoui H,Muniz Rodriguez A,Naqvi M,Fox NS

    更新日期:2019-08-01 00:00:00

  • The relationship of amniotic fluid cytokines and preterm delivery, amniotic fluid infection, histologic chorioamnionitis, and chorioamnion infection.

    abstract:OBJECTIVE:To assess the association between cytokines in the amniotic fluid (AF) and preterm delivery, the isolation of bacteria from the AF or chorioamnion, and histologic chorioamnionitis. METHODS:Fifty afebrile women with intact membranes in preterm labor at or before 34 weeks' gestation underwent amniocentesis. Cy...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Hillier SL,Witkin SS,Krohn MA,Watts DH,Kiviat NB,Eschenbach DA

    更新日期:1993-06-01 00:00:00

  • Toward the ethical evaluation and use of maternal-fetal surgery.

    abstract:BACKGROUND:Important clinical, social, and ethical questions are associated with the evaluation and use of surgical approaches aimed at correcting fetal anatomic abnormalities. In particular, the expansion of maternal-fetal surgery to ameliorate nonlethal fetal conditions has intensified the need to address issues abou...

    journal_title:Obstetrics and gynecology

    pub_type: 共识发展会议,杂志文章,评审


    authors: Lyerly AD,Gates EA,Cefalo RC,Sugarman J

    更新日期:2001-10-01 00:00:00

  • Use of vaginally administered chlorhexidine during labor to improve pregnancy outcomes.

    abstract:OBJECTIVE:Our objective was to determine the potential for chlorhexidine used as a vaginal and neonatal wash to reduce adverse outcomes of pregnancy, especially in developing countries. DATA SOURCES:We searched the English literature from January 1950 through October 2005 for all articles related to the use of chlorhe...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Goldenberg RL,McClure EM,Saleem S,Rouse D,Vermund S

    更新日期:2006-05-01 00:00:00

  • Enzyme assays to detect preovulatory human luteinizing hormone surge.

    abstract::Nonradioisotopic enzyme assays have been developed to detect the preovulatory luteinizing hormone (LH) surge in the unextracted urine of normally menstruating women. The amino groups on 6-mm glass beads were activated and coupled to the anti-LH-gamma-globulin for enzyme immunoassay or to the LH receptor prepared from ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Fukunaga T,Rathnam P,Landesman R,Saxena BB

    更新日期:1983-01-01 00:00:00

  • Hormones and sexuality: effect of estrogen and progestogen.

    abstract::This study was planned to determine the effects of estrogen and progestogen on female sexual behavior. Forty-nine women who had undergone hysterectomy and bilateral salpingo-oophorectomy took part in a double-blind placebo-controlled cross-over study. Over a 12-month period each woman received 3 months each of ethinyl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Dennerstein L,Burrows GD,Wood C,Hyman G

    更新日期:1980-09-01 00:00:00

  • Obstetric Care Consensus No. 2: Levels of maternal care.

    abstract::In the 1970s, studies demonstrated that timely access to risk-appropriate neonatal and obstetric care could reduce perinatal mortality. Since the publication of the Toward Improving the Outcome of Pregnancy report, more than three decades ago, the conceptual framework of regionalization of care of the woman and the ne...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章



    更新日期:2015-02-01 00:00:00

  • Intrauterine anesthesia for gynecologic procedures: a systematic review.

    abstract:OBJECTIVE:To assess the effectiveness of intrauterine local anesthesia in reducing pain associated with outpatient gynecologic procedures. DATA SOURCES:We searched online databases PubMed or MEDLINE, Embase, Google Scholar, and and hand-searched reference lists from reviews evaluating pain-control m...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Mercier RJ,Zerden ML

    更新日期:2012-09-01 00:00:00

  • Glycohemoglobin determinations in normal pregnancy and in insulin-dependent diabetics.

    abstract::Minor components of adult hemoglobin (A1a,b, and c) are known to increase in the presence of sustained elevations of maternal blood glucose. This study demonstrates the correlation between glycosylated hemoglobin components and the usual shorter term indices of diabetic control. In addition, a correlation was noted be...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Vintzileos AM,Thompson JP

    更新日期:1980-10-01 00:00:00

  • Acute intermittent porphyria in pregnancy.

    abstract::A 27-year-old, previously healthy normotensive woman was admitted for hyperemesis gravidarum and treated with intravenous fluids and metoclopramide. Thereafter, a neuropsychiatric syndrome developed, with acute asymmetrical axonal motor-sensory polyneuropathy and marked anxiety, depression, irritability, and memory an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Milo R,Neuman M,Klein C,Caspi E,Arlazoroff A

    更新日期:1989-03-01 00:00:00

  • National Trends and Reported Risk Factors Among Pregnant Women With Syphilis in the United States, 2012-2016.

    abstract:OBJECTIVE:To describe recent syphilis trends among pregnant women and to evaluate the prevalence of reported high-risk behaviors in this population. METHODS:We analyzed U.S. national case report data for 2012-2016 to assess trends among pregnant women with all stages of syphilis. Risk behavior data collected through c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Trivedi S,Williams C,Torrone E,Kidd S

    更新日期:2019-01-01 00:00:00

  • Drive times to hospitals with perinatal care in the United States.

    abstract:OBJECTIVE:To evaluate access to inpatient obstetric care, we determined the proportions of women of reproductive age who resided within 30-minute and 60-minute driving times to the nearest hospital offering perinatal services. METHODS:Perinatal centers, identified from the 2007 American Hospital Association survey, we...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Rayburn WF,Richards ME,Elwell EC

    更新日期:2012-03-01 00:00:00

  • A second-stage partogram.

    abstract:OBJECTIVE:To describe a second-stage partogram based on a system of scoring the descent and position of the fetal head and to use this system for studying progress in the second stage of labor and predicting mode of delivery and obstetric outcome. METHODS:A prospective observational study of 1413 women at term with a ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Sizer AR,Evans J,Bailey SM,Wiener J

    更新日期:2000-11-01 00:00:00

  • Practice Bulletin No. 163 Summary: Screening for Fetal Aneuploidy.

    abstract::Prenatal genetic screening is designed to assess whether a patient is at increased risk of having a fetus affected by a genetic disorder. In contrast, prenatal genetic diagnostic testing is intended to determine, with as much certainty as possible, whether a specific genetic disorder or condition is present in the fet...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引



    更新日期:2016-05-01 00:00:00

  • Prospective evaluation of 618 pregnant women exposed to parvovirus B19: risks and symptoms.

    abstract:OBJECTIVE:To assess the risk of maternal parvovirus B19 infection from exposure to various sources and the fetal morbidity of those infections. METHODS:We obtained demographic and occupational information about pregnant women exposed to sources of B19 and about the nature and duration of the exposures. We performed se...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Harger JH,Adler SP,Koch WC,Harger GF

    更新日期:1998-03-01 00:00:00

  • Screening for cystic fibrosis carrier state.

    abstract::Carrier screening for cystic fibrosis as part of reproductive health care, including prenatal care, is not the standard of practice at this time. However, a recent National Institutes of Health Consensus Development Conference recommended that cystic fibrosis carrier screening should be offered to adults with a family...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Mennuti MT,Thomson E,Press N

    更新日期:1999-03-01 00:00:00

  • What is new in intrauterine devices? Best articles from the past year.

    abstract::This month, we focus on current research about intrauterine devices. Dr. Hurd discusses four recent publications, and each is concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Hurd WW

    更新日期:2013-10-01 00:00:00

  • Route of delivery as a risk factor for emergent peripartum hysterectomy: a case-control study.

    abstract:OBJECTIVE:To evaluate whether cesarean delivery is a risk factor for emergent postpartum hysterectomy. METHODS:We performed a case-control study of patients who delivered at Women & Infants Hospital between January 1989 and February 2000. Fifty cases of emergent postpartum hysterectomy performed within 14 days of deli...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Kacmar J,Bhimani L,Boyd M,Shah-Hosseini R,Peipert J

    更新日期:2003-07-01 00:00:00

  • Thecomas and granulosa-theca cell tumors of the ovary: an analysis of 51 tumors,.

    abstract::A retrospective study of 51 thecomas and granulosa-theca cell tumors of the ovary seen at Confederate Memorial Medical Center in Shreveport, Louisiana, is presented. Endometrial tissue was available for study in 38 of the 51 patients. The relation of these tumors to endometrial morphology suggests an excessive estroge...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Stage AH,Grafton WD

    更新日期:1977-07-01 00:00:00

  • Nodal metastasis risk in endometrioid endometrial cancer.

    abstract:OBJECTIVE:To estimate the risk for nodal metastasis in women with endometrial cancer based on uterine characteristics on pathology. METHODS:From a study of staging for uterine cancer, women were identified as being at low risk for nodal metastasis based on three specific criteria on final pathology reports: 1) less th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Milam MR,Java J,Walker JL,Metzinger DS,Parker LP,Coleman RL,Gynecologic Oncology Group.

    更新日期:2012-02-01 00:00:00

  • Maternal-fetal surgery: where are we and how did we get here?

    abstract::Using the criteria proposed in 1982 to justify consideration of in utero surgical treatment of fetal disorders, the development of maternal-fetal treatment is described, and an assessment of current status is provided. Significant issues remain, and many questions are unanswered. By using three different disorders, co...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Chescheir NC

    更新日期:2009-03-01 00:00:00

  • Prevention of neonatal group B streptococcal disease: intrapartum detection and chemoprophylaxis of heavily colonized parturients.

    abstract::Parturients with heavy vaginal colonization of group B streptococci were selected randomly to receive either penicillin or no antibiotic. A simple and fast latex agglutination test, applied in 8977 consecutive parturients, detected 412 women with heavy colonization with group B streptococcus, 199 of whom were eligible...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Tuppurainen N,Hallman M

    更新日期:1989-04-01 00:00:00

  • Cecal volvulus in pregnancy.

    abstract::Cecal volvulus in pregnancy is an uncommon complication. A case is reported of a 28-year-old white female, gravida 2, para 1, who presented at 36 weeks' gestation with flu-like symptoms accompanied by regular uterine contractions every 3 minutes; she underwent repeat cesarean section without incident. The patient did ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Pratt AT,Donaldson RC,Evertson LR,Yon JL Jr

    更新日期:1981-06-01 00:00:00

  • The umbilical pump: a contributor to twin-twin transfusion.

    abstract:BACKGROUND:Umbilical vascular coiling may function as a rudimentary pump that facilitates venous return from the placenta. CASES:Three consecutive twin gestations with twin-twin transfusion syndrome were evaluated prospectively at delivery. The birth weights and umbilical coiling indices of donor and recipient twins w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Strong TH Jr

    更新日期:1997-05-01 00:00:00

  • Neonatal Morbidity and Maternal Complication Rates in Women With a Delivery Body Mass Index of 60 or Higher.

    abstract:OBJECTIVE:To investigate neonatal morbidity and maternal complication rates with delivery body mass index (BMI) 60 or greater. METHODS:This retrospective, multicenter cohort study included singleton pregnancies between 23 and 42 weeks of gestation from January 2005 to April 2016. Women with BMI 60 or greater were comp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究


    authors: Kim T,Burn SC,Bangdiwala A,Pace S,Rauk P

    更新日期:2017-11-01 00:00:00

  • Anterior sacral meningocele in pregnancy.

    abstract::Anterior sacral meningocele is a rare abnormality. Only 14 cases of it have been reported in association with pregnancy. Of those 14 patients, three died as a result of rupture of the meningocele during labor and postpartum. A new case is presented; the clinical presentation, the diagnosis, and treatment are discussed...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Kofinas AD,Hatjis CG,Ernest JM,Parker RL Jr

    更新日期:1987-03-01 00:00:00