126 Neurological symptoms prevalence in hypertensive pregnancy disorders in a tertiary hospital in Southern Brazil.: Preeclampsia in low and middle income countries

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• 作者：Rhenan Junior Tezone ; Anderson Marcel Calestine ; Rebeca Dorneles da Silva ; Bruno Cauduro Couto ; Edison Matos Nó ; vak
• 刊名：Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：6
• 期：3
• 页码：241-242
• 全文大小：157 K

文摘

Hypertensive disorders are the most prevalent disorders in pregnancy representing a major role in maternal morbidity in pregnancy in developing countries. Neurological symptoms are useful tools in clinical practice as red flags of complications such as preeclampsia and eclampsia.

Objective

To describe the prevalence of neurological symptoms in pregnancy disorders with gestational induced hypertension (GH) and chronic arterial hypertension (CAH).

Methods

We conducted a 5 years retrospective study with hospital reports of pregnant women diagnosed with GH and CAH based on the cases of a Southern Brazil Hospital (Complexo Hospital de Clínicas – UFPR). The statistical analysis was expressed in percentage.

Results

452 pregnancies were included in our study. 54% in the GH group and 46% the CAH group. Table shows the neurological symptoms prevalence found in the prenatal period of pregnancy hypertensive disorders. Data presented as n (%).

Others neurological symptoms observed were focal weakness (0.8% in GH; 0.5% in CAH), aphasia (0.4% in GH; 1% in CAH), psychosis (0.4% in GH; 0.5% in CAH), hemiparesis and facial nerve palsy (both 1% in CAH).

Conclusion

The most prevalent neurological symptoms found in this study were headache, nuchal pain and visual scotomas. These symptoms are related with high risk of complications in hypertensive disorders.