Valentin M, Ducarme G, Wernet A, Mantz J, Luton D
Service de chirurgie gynécologique et d'obstétrique, hôpital Beaujon, AP-HP, université Paris-VII, 100, boulevard du Général-Leclerc, 92110 Clichy, France.
Gynecol Obstet Fertil. 2008 Jun;36(6):641-3. doi: 10.1016/j.gyobfe.2008.02.022. Epub 2008 Jun 4.
We report a case of late postpartum eclampsia at Day 11 in a 40-year-old woman after normal pregnancy and delivery. The delayed eclamptic episode is defined by seizures between two days and four weeks after delivery. About 40% of late eclampsia has no premonitory symptoms. This case highlights the possible diagnosis of late eclampsia even after normal pregnancy and delivery. Active and prompt management, brain imaging are mandating in cases of persistent headaches in postpartum.
我们报告一例40岁女性在正常妊娠和分娩后第11天发生的晚发型产后子痫。迟发性子痫发作定义为分娩后两天至四周内出现的癫痫发作。约40%的晚发型子痫没有先兆症状。该病例强调了即使在正常妊娠和分娩后也可能诊断为晚发型子痫。对于产后持续头痛的病例,积极迅速的处理以及脑部影像学检查是必要的。