Archives of Gynecology and Obstetrics

, Volume 248, Issue 3, pp 151–155 | Cite as

Neurological cause of late postpartum seizures

  • F. Rosenow
  • M. Huber
  • W. Scheidt
  • W. -D. Heiß
Case Reports

Abstract

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 complications Subdural effusion Meningeal thickening focal seizures Magnetic resonance imaging 

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Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • F. Rosenow
    • 2
  • M. Huber
    • 2
  • W. Scheidt
    • 1
  • W. -D. Heiß
    • 2
  1. 1.Institute of RadiologyCologneFRG
  2. 2.Universitätsklinik und Poliklinik für NeurologieKöln 41FRG

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