Convulsions in early post-partum period, a diagnostic dilemma

Anil H. Inamdar, Saunitra A. Inamdar, Vaidehi S. Subhedar

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.


Keywords


Post- partum convulsions, Neurocysticercosis, Emergency

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