Convulsions in early post-partum period, a diagnostic dilemma

Authors

  • Anil H. Inamdar Department of Medicine, JNMC, Sawangi (M), Wardha, Maharashtra, India
  • Saunitra A. Inamdar Department of Obstetrics and Gynaecology, JNMC, Sawangi (M), Wardha, Maharashtra, India
  • Vaidehi S. Subhedar Department of Obstetrics and Gynaecology, JNMC, Sawangi (M), Wardha, Maharashtra, India

Keywords:

Post- partum convulsions, Neurocysticercosis, Emergency

Abstract

Neurocysticercosis is the most common helminthic (tapeworm) infection of the brain worldwide. It presents as hydrocephalus and acute onset seizures. A 28-year-old para 3 live 3 [P3L3], post-partum [day 7], resident of Arvi, presented in casualty during emergency hours with headache and fever since 7 days. She presented with h/o convulsions 2 episodes, one on day 5 and one on day 7 of her full term vaginal home delivery. She presented to the Emergency Department on day 7 with generalised tonic-clonic seizures preceded by nausea and headache. All her blood investigations were within normal limits except an extremely surprising finding on CT scan. 40% of patients having postpartum convulsions do not experience preeclampsia, clinical awareness is essential for early treatment and care.

Downloads

Published

2016-12-09

Issue

Section

Case Reports