Late Onset Postpartum Eclampsia: It is Really Never Too Late-A Case of Eclampsia 8 Weeks after Delivery.
Introduction. Eclampsia is the combination of preeclampsia and seizures. Approximately one-half of all cases of eclampsia occur postpartum. Thereby late onset postpartum eclampsia is defined by its onset more than 48 hours after delivery. Summary of Case. We report a postpartum eclampsia occurring 8 weeks after delivery, which is the latest onset ever described. The course was complicated by an intracerebral hemorrhage (ICH). Conclusion. A late onset postpartum eclampsia even several weeks after delivery should be considered as possible diagnosis, since early treatment initiation with magnesium sulphate and antihypertensive medication prevents severe complications and reduces mortality.
Minnerup
Jens
J
Department of Neurology, University of Münster, Albert-Schweitzer Strasse 33, 48149 Münster, Germany.
Kleffner
Ilka
I
Wersching
Heike
H
Zimmermann
Julian
J
Schäbitz
Wolf-Rüdiger
WR
Niederstadt
Thomas
T
Dziewas
Rainer
R
Int J Gynaecol Obstet. 2000 Dec;71(3):223-5
11102608
Obstet Gynecol. 2009 Jun;113(6):1299-1306
19461426
BMJ. 1994 Nov 26;309(6966):1395-400
7819845
Arch Gynecol Obstet. 2005 Jan;271(1):79-85
15480723
Neuroradiology. 2000 Nov;42(11):818-20
11151687
Prog Clin Biol Res. 1976;7:249-68
1030794
AJNR Am J Neuroradiol. 2008 Jun;29(6):1036-42
18356474
Hypertension. 2005 Dec;46(6):1270-4
16246971
Obstet Gynecol. 1994 Apr;83(4):502-5
8134057
J Gynecol Obstet Biol Reprod (Paris). 2007 May;36(3):276-80
17306469
Nervenarzt. 2004 Apr;75(4):368-79
15085270
Circulation. 2007 May 22;115(20):e478-534
17515473
J Neurol Sci. 2000 Jan 15;172 Suppl 1:S43-9
10606806
Cochrane Database Syst Rev. 2003;(4):CD000127
14583910
Obstet Gynecol. 2005 Feb;105(2):246-54
15684147
Cochrane Database Syst Rev. 2003;(4):CD000128
14583911
J Neurol. 2002 Sep;249(9):1287-91
12242555
Z Geburtshilfe Neonatol. 2009 Jun;213(3):106-12
19536711
N Engl J Med. 1996 Feb 22;334(8):494-500
8559202