Case of postpartum eclampsia in a patient with isolated proteinuria

Abstract

Introduction: Eclampsia is traditionally defined as the occurrence of seizures in pregnant women, usually in the setting of preeclampsia and in the absence of other neurologic disorders. It is mostly a peripartum pathology occurring mainly before, during, or within 48 hours after delivery. When convulsions occur in the postpartum phase, the diagnosis becomes more challenging and worthy of comprehensive investigations. Case Report: Our case is an atypical presentation of eclampsia occurring in the postpartum period in a patient with no previous symptomatology related to preeclampsia except for isolated proteinuria. Conclusion: This presentation of eclampsia leads to the conclusion that an atypical occurrence of this disease is becoming more frequent, and thus raises the concern towards the burden this can have on the associated maternal and neonatal morbidity and mortality. Hala Hassan1, Hicham Zaarour2, Nadim Hajal3, Rana Skaf4, Jihad Al Hassan5, Manal Zaarour6 Affiliations: 1Senior Resident, Department of Obstetrics and Gynecology at St George Hospital University Medical Center, Beirut, Lebanon; 2Senior Resident, Department of Obstetrics and Gynecology at Al Zahraa University Hospital, Beirut, Lebanon; 3MFM Specialist, Department of Obstetrics and Gynecology at St George Hospital University Medical Center, Beirut, Lebanon; 4Chief of Department, Department of Obstetrics and Gynecology at St George Hospital University Medical Center, Beirut, Lebanon; 5Chief of Department, Department of Obstetrics and Gynecology at Al Zahraa University Hospital, Beirut, Lebanon; 6Obstetrics and Gynecology Specialist, Department of Obstetrics and Gynecology at Al Zahraa University Hospital, Beirut, Lebanon. Corresponding Author: Hala Hassan, St George Hospital University Medical Center, Ashrafyeh, Beirut, Lebanon; Email: [email protected] Received: 22 August 2019 Accepted: 17 September 2019 Published: 18 October 2019