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Late-onset postpartum eclampsia: still a diagnostic
dilemma?
VM Santos.
FG Correa.
FRD Modesto.
PR Moutella
Department of Internal Medicine, Armed
Forces Hospital, BrasÃlia-DF
Eclampsia is still a major cause of perinatal morbidity and mortality in developing countries
but postpartum eclampsia has rarely been described. We present a case in which a 22-year-old
Brazilian woman without a typical history of pre-eclampsia presented with eclampsia
after the fourth postpartum day. The clinical diagnosis was corroborated by angiography
and magnetic resonance imaging of the brain. The findings of nine similar cases reported in
the literature are reviewed to compare data and highlight possible diagnostic pitfalls when
managing this condition.
Hong Kong Med J 2008;14:60-3
Key words: Cerebrovascular disorders; Eclampsia;
Magnetic resonance imaging; Postpartum
period; Pregnancy
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