Abstract
A primi at 35 weeks of gestation presented with symptoms and signs of severe pregnancy induced hypertension. Soon after admission she developed eclampsia. A healthy baby was delivered by emergency lower segment cesarean section. The patient developed bilateral lower extremity weakness 12 hours after surgery. A contrast CT identified superior sagittal sinus thrombosis as the cause of her symptoms. The patient was anti-coagulated and made a complete recovery.
Highlights
Case report A healthy 21 year old primi, presented with severe frontal headache and visual disturbances at 35 weeks of gestation
Haematologist, systemic anti-coagulation with i.v. heparin was commenced on post-operative day (POD) 1
Her blood pressure responded to standard medication and urine was negative for protein on POD 2
Summary
Case report A healthy 21 year old primi, presented with severe frontal headache and visual disturbances at 35 weeks of gestation. A diagnosis of pregnancy induced hypertension (PIH) and impending eclampsia was made. 10 minutes after starting intravenous MgSO4 therapy, she developed generalized, tonic/clonic seizures. She had five generalized seizures within an hour of admission to the obstetric ward.
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