Cerebral volume is unaffected after pre-eclampsia.


Journal

Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology
ISSN: 1469-0705
Titre abrégé: Ultrasound Obstet Gynecol
Pays: England
ID NLM: 9108340

Informations de publication

Date de publication:
Jul 2023
Historique:
revised: 12 01 2023
received: 09 09 2022
accepted: 19 01 2023
medline: 3 7 2023
pubmed: 3 2 2023
entrez: 2 2 2023
Statut: ppublish

Résumé

Pre-eclampsia has been associated with cardiovascular, cerebrovascular and/or psychological complaints. Signs of altered brain morphology and more white-matter hyperintensities (WMHs) during and shortly after pre-eclampsia have been observed in some, but not all, studies. We compared volumes of cerebral structures and the number of WMHs between formerly pre-eclamptic women and those with normotensive gestational history and assessed the effect of age on brain volumes. Structural 7-Tesla magnetic resonance imaging of the brain was performed in 59 formerly pre-eclamptic women (aged 37 ± 6 years, 0.5-16 years postpartum) and 20 women with a history of normotensive pregnancy (aged 39 ± 5 years, 1-18 years postpartum). Fazekas scores were obtained to assess WMH load. Volumes of the whole brain, gray and white matter, brain lobes, and ventricular and pericortical cerebrospinal fluid (CSF) spaces were calculated after semiautomatic segmentation. Group differences were analyzed using ANCOVA and Bayes factors. Results were adjusted for age, educational attainment, presence of current hypertension and total intracranial volume. The effect of age on cerebral volumes was analyzed using linear regression analysis. No changes in global and local brain volumes were observed between formerly pre-eclamptic and control women. Also, no difference in WMH load was observed. Independent of pre-eclamptic history, gray-matter volume significantly decreased with age, while ventricular and pericortical CSF space volumes significantly increased with age. Volumetric changes of the cerebrum are age-related but are independent of pre-eclamptic history in the first two decades after childbirth. No evidence of greater WMH load after pre-eclampsia was found. © 2023 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Identifiants

pubmed: 36730173
doi: 10.1002/uog.26172
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

115-121

Subventions

Organisme : Brains Unlimeted Pioneer Fund
ID : S.2016.1.06
Organisme : Stimulation Fund (Stimuleringsfonds FHML) of the Maastricht University

Informations de copyright

© 2023 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

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Auteurs

L P W Canjels (LPW)

Department of Obstetrics and Gynecology, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, The Netherlands.
Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.

R J Alers (RJ)

Department of Obstetrics and Gynecology, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, The Netherlands.

V van de Ven (V)

Department of Cognitive Neuroscience, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.

P P M Hurks (PPM)

Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, Maastricht, The Netherlands.

S C Gerretsen (SC)

Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.

Y Brandt (Y)

Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands.

M E Kooi (ME)

Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands.

J F A Jansen (JFA)

Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.
Department of Electrical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands.

W H Backes (WH)

Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands.
School for Mental Health and Neuroscience (MHeNS), Maastricht University, Maastricht, The Netherlands.

C Ghossein-Doha (C)

School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, The Netherlands.
School for Cardiovascular Diseases (CARIM), Maastricht University, Maastricht, The Netherlands.
Department of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands.

M E A Spaanderman (MEA)

Department of Obstetrics and Gynecology, Maastricht University Medical Center, Maastricht, The Netherlands.
School for Oncology and Developmental Biology (GROW), Maastricht University, Maastricht, The Netherlands.
Department of Obstetrics and Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands.

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