Convulsions in hypertensive, proteinuric primiparas more than 24 hours after delivery. Eclampsia or some other cause?
A diagnosis of eclampsia has been considered inappropriate when the onset of a convulsion is greater than 24 hours after delivery. The observations presented here provide strong support for waiving the 24-hour rule, at least when convulsions from no other apparent cause and accompanied by hypertension and proteinuria occur in a primipara as late as 10 days postpartum. Late postpartum eclampsia seems an appropriate term for this very uncommon condition.
D000293:Adolescent; D004461:Eclampsia / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications*; D011247:Pregnancy; D011507:Proteinuria / Q000150:complications; D011644:Puerperal Disorders / Q000209:etiology*; D012640:Seizures / Q000209:etiology*; D009626:Terminology as Topic; D013997:Time Factors