Abstract

New onset convulsion in a woman after delivery in the absence of hypertension and/or proteinurea and other causes of convulsion is called atypical postpartum eclampsia. Some authors include the time duration of beyond 48hours of the delivery for the diagnosis. Incidence is about 8% of total cases of eclampsia. Exact cause is not yet definitely established for it and the occurrence is unpredictable. It is a diagnosis of exclusion by history, examination and investigations. Management of this highly morbid and life threatening condition is equally challenging particularly in remote places. Seizure control and supportive treatment and monitoring are the key to good prognosis. This case, 39 year old primipara who had uneventful antenatal period, developed severe headache followed by generalized tonic, clonic convulsions following caesarean section. She was managed with Magnesium sulfate and investigated. She responded well to treatment and was discharged. The aim of presentation is to create awareness about the condition, emphasize the need of postpartum supervision and maintain statistical record.