Minnerup Jens, Kleffner Ilka, Wersching Heike, Zimmermann Julian, Schäbitz Wolf-Rüdiger, Niederstadt Thomas, Dziewas Rainer
Department of Neurology, University of Münster, Albert-Schweitzer Strasse 33, 48149 Münster, Germany.
Stroke Res Treat. 2010;2010. doi: 10.4061/2010/798616. Epub 2009 Sep 1.
Introduction. Eclampsia is the combination of preeclampsia and seizures. Approximately one-half of all cases of eclampsia occur postpartum. Thereby late onset postpartum eclampsia is defined by its onset more than 48 hours after delivery. Summary of Case. We report a postpartum eclampsia occurring 8 weeks after delivery, which is the latest onset ever described. The course was complicated by an intracerebral hemorrhage (ICH). Conclusion. A late onset postpartum eclampsia even several weeks after delivery should be considered as possible diagnosis, since early treatment initiation with magnesium sulphate and antihypertensive medication prevents severe complications and reduces mortality.