Late postpartum eclampsia 11days after delivery without preeclampsia: A case report.

Hyun, Suk Hwan; Lee, Min A; Lee, Jin Gu; Kim, Bo Youn; Park, Jin Hee; Lee, Kyung Eun; Lee, Ae Young; Rhee, Yun Ee

Case Report

Korean Journal of Obstetrics & Gynecology 2007;50(2):352-356.
Published online February 1, 2007.

Late postpartum eclampsia 11days after delivery without preeclampsia: A case report.

Suk Hwan Hyun, Min A Lee, Jin Gu Lee, Bo Youn Kim, Jin Hee Park, Kyung Eun Lee, Ae Young Lee, Yun Ee Rhee

¹Department of Obstetrics & Gynecology, College of Medicine, Chungnam National University, Daejon, Korea. rheeyun@cnu.ac.kr
²Department of Neurology, College of Medicine, Chungnam National University, Daejon, Korea.

Abstract

Eclampsia, defined as peripartum seizure activity commonly associated with hypertension, proteinuria and edema. Historically, eclampsia was believed not to occur more than 48 hours after delivery and late postpartum eclampsia was thought to be uncommon. However, recent evidence suggests that its incidence is increasing. In addition, clinical signs of late postpartum eclampsia may differ from that occurring during the pregnancy. In case of late postpartum eclampsia, headache and visual disturbance may precede seizure but classic preeclampsia signs as edema, proteinuria, and hypertension are not presented until shortly before seizure onset. So it should be needed that patient education about prodromal symptoms of late postpartum eclampsia, including headache, visual disturbance, and abdominal pain at the time of hospital discharge. We described a case of eclampsia occurring 11days after delivery without preeclampsia symptom including a review of the literature.

Key Words: Late postpartum eclampsia