• Anasthesiol Intensivmed Notfallmed Schmerzther · Jun 1997

    Case Reports

    [Status epilepticus late in pregnancy--eclampsia or subarachnoid hemorrhage?].

    • A Michalsen, T Henze, D Wagner, H Schillinger, and K Engels.
    • Klinik für Anästhesiologie, Johannes-Gutenberg-Universität, Mainz.
    • Anasthesiol Intensivmed Notfallmed Schmerzther. 1997 Jun 1; 32 (6): 380-4.

    AbstractAfter a largely inconspicuous pregnancy, a 31-year old primipara suffered from a status epilepticus in the third trimenon. The convulsions could not be terminated by emergency medical services, resulting in aspiration of gastric contents. Assuming eclampsia, an emergency caesarean section was performed immediately in a central hospital. Postoperatively, a pathological pattern of tendon reflexes was noticed. A CT scan revealed subarachnoid haemorrhage. The causal aneurysm of the right A. pericallosa was clipped subsequently. Eclampsia is the leading cause of epileptic seizures during pregnancy. However, a different aetiology should always be considered, especially if medical history does not reveal symptoms of pre-eclampsia.

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