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Stroke Research and Treatment
Volume 2010 (2010), Article ID 798616, 4 pages
http://dx.doi.org/10.4061/2010/798616
Case Report

Late Onset Postpartum Eclampsia: It is Really Never Too Late—A Case of Eclampsia 8 Weeks after Delivery

1Department of Neurology, University of Münster, Albert-Schweitzer Straße 33, 48149 Münster, Germany
2Department of Clinical Radiology, University of Münster, Albert-Schweitzer Straße 33, 48149 Münster, Germany

Received 22 May 2009; Accepted 3 August 2009

Academic Editor: Marc Fisher

Copyright © 2010 Jens Minnerup et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.