Eclampsia is known to carry both immediate and long-term neurological risks, including silent cerebral injury that may go unrecognized clinically. Yet, in routine obstetric practice, there are no simple bedside markers to help identify which women may be at greater risk of such brain changes. This study investigated whether specific clinical features could help predict silent cerebral infarcts in women who had experienced eclampsia. In this prospective observational study of 49 women with eclampsia, brain MRI detected silent cerebral infarcts in 33% of participants.
Higher peak systolic blood pressure and impaired hearing before the seizure emerged as the clinical features most strongly associated with these infarcts. Together, these markers showed moderate ability to distinguish women with silent cerebral injury. The findings suggest that severe systolic hypertension and hearing…
