Atypical Post Partum Eclampsia and Posterior Reversible Encephalopathy Syndrome
Nidhi Sharma, Sasireka Manivel, Shanthi Ethiraj, Kalimuthu Kohila, Cauvery Aarthi
Journal of Advances in Medicine and Medical Research · pp. 1–7 · Published 26 Jul 2017
10.9734/JAMMR/2017/34997Abstract
Pregnancy induced Hypertension also called as “Gestosis” plural “Gestoses” has a heterogeneous etiology. A case of atypical eclampsia with seizures in the postpartum, that required intravenous Magnesium sulphate is described. The two proposed theories of etiopathogeniesis of cerebral edema, “Vasogenic Theory” and “Cytotoxic theory” are discussed. The concept of “delta hypertension” is emphasized. Impaired fluid mobilization, decreased sodium excretion and imbalance between angiopoietic factors in the post partum period is discussed as the likely cause of post partum eclampsia.
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