분만 14일후 발생한 후기 분만후자간증 1예
A Case of Lete Postpartum Eclampsia 14Days after Delivery
조광덕, 임수빈, 이순금, 유동식, 이상수,
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조광덕 ( Jo Kwang-Deog )
울산대학교 의과대학 강릉아산병원 신경과학교실
임수빈 ( Yim Soo-Bin )
울산대학교 의과대학 강릉아산병원 신경과학교실
이순금 ( Lee Soon-Keum )
울산대학교 의과대학 강릉아산병원 신경과학교실
유동식 ( Yu Dong-Sik )
울산대학교 의과대학 강릉아산병원 가정의학과
이상수 ( Lee Sang-Soo )
울산대학교 의과대학 산부인과학교실
KMID : 0877220050090010097
Abstract
Eclampsia is a syndrome characterized by pregnancy-induced hypertension, edema, proteinuria, and generalized tonic-clonic convulsions, occurring between 20 and 40 weeks of gestation or within 48 hours of postpartum. A convulsion that shows up more than 48 hours after delivery is late postpartum eclampsia. A 40-year-old woman was admitted due to a headache and generalized tonic-clonic seizures in 14 days of postpartum. Two months prior to the admission, she had been admitted to the hospital because of mild proteinuria. Her blood pressure on arrival was 160/100 mmHg. There were no focal neurologic signs. She was given lorazepam and valproate sodium intravenously and her convulsion was stopped. A brain MRI showed multiple bilateral high signal intensities in the both deep white matter and the parieto-occipital cortex. Cerebral angiography showed a diffuse vasospasm. We report a patient with late postpartum eclampsia occurring 14 days after parturition whose seizures was accompanied by preceding headache and proteinuria as a pre-eclamptic sign.
키워드
Seizure; Postpartum; Eclampsia
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