Archives of Gynecology and Obstetrics

, Volume 248, Issue 3, pp 151–155

Neurological cause of late postpartum seizures


  • F. Rosenow
    • Universitätsklinik und Poliklinik für Neurologie
  • M. Huber
    • Universitätsklinik und Poliklinik für Neurologie
  • W. Scheidt
    • Institute of Radiology
  • W. -D. Heiß
    • Universitätsklinik und Poliklinik für Neurologie
Case Reports

DOI: 10.1007/BF02390093

Cite this article as:
Rosenow, F., Huber, M., Scheidt, W. et al. Arch Gynecol Obstet (1991) 248: 151. doi:10.1007/BF02390093


A 32-year-old primigravida showed signs of pre-eclampsia before delivery of a healthy boy at term. The CSF-space was accidentally punctured during epidural anaesthesia in labour. One day later hypertension was noted and the patient had a single generalized fit. For the next three weeks she had postural headaches, fluctuating hypertension, intermittent hearing loss and doublevision. On the 22nd day of postpartum, the patient had the first of a series of partial and later generalized seizures, followed by hemiparesis, alteration of consciousness, and finally slow recovery with corticosteroid therapy. Bilateral subdural effusions and generalized meningeal thickening were found on MR scans. Repeated MRI excluded sinus thrombosis and documented the response to treatment.

Key words

Eclampsia complicationsSubdural effusionMeningeal thickeningfocal seizuresMagnetic resonance imaging

Copyright information

© Springer-Verlag 1991