[Late post-partum eclampsia: a case report].
Post-partum eclampsia is an unfrequent entity (11 to 44 % of eclampsia), which can sometimes occur late, beyond the 48th hour. We report a case of late post-partum eclampsia which occurred 12 days after an uncomplicated pregnancy and delivery. Post-partum eclampsia differs from antepartum by a pauci symptomatic or unexpected context. The mortality rate is comparable with that of the ante-partum eclampsia. Brain MRI appears to be the investigation of choice in case of uncertain diagnosis. Magnesium sulfate treatment should be considered under the same conditions as during pregnancy. Identifying and informing high-risk women would allow early diagnosis, which may improve the prognosis of this atypical type of eclampsia.
Bedel
B
B
Service de gynécologie-obstétrique, CHU Paule-de-Viguier, Toulouse, France.
Cartron
G
G
Vayssière
C
C
Parant
O
O
D000328:Adult; D001921:Brain / Q000473:pathology; D004461:Eclampsia / Q000175:diagnosis* / Q000188:drug therapy*; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D049590:Postpartum Period; D011247:Pregnancy; D016896:Treatment Outcome
D008278:Magnesium Sulfate