Homonymous hemianopia following a triplet pregnancy: post-natal cerebral vasculitis or atypical eclampsia.
A 46-year-old woman with a triplet pregnancy developed seizures, an oculogyric crisis and a homonymous hemianopia post-natally. Abnormal neuroimaging studies and lumbar puncture suggested possible cerebral vasculitis. Treatment with aciclovir and prednisolone resulted in a slow resolution of symptoms. This case highlights the difficulty in distinguishing eclampsia from rarer neurological causes of peripartum seizures.
Keay
Stephen D
SD
Departments of Obstetrics and Gynaecology, St. Michael's Hospital, Southwell St., Bristol BS2 8EG, UK.
Carroll
Stephen G M
SG
Scrutton
Mark
M
Kelly
Anthony
A
Ormerod
Ian
I
Cahill
David J
DJ
D000212:Acyclovir / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002555:Cerebrospinal Fluid / Q000166:cytology; D003937:Diagnosis, Differential; D004461:Eclampsia / Q000150:complications / Q000175:diagnosis*; D005260:Female; D006423:Hemianopsia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D007958:Leukocyte Count; D018655:Lymphocyte Count; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D011239:Prednisolone / Q000627:therapeutic use; D011247:Pregnancy; D011644:Puerperal Disorders / Q000175:diagnosis*; D012640:Seizures; D013129:Spinal Puncture; D014057:Tomography, X-Ray Computed; D014310:Triplets; D020293:Vasculitis, Central Nervous System / Q000150:complications / Q000175:diagnosis*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D000212:Acyclovir