We describe two women presenting a clinical picture of hypertension and visual disturbance followed by convulsive generalized seizures 11 hours and 6 days after childbirth respectively; no other preeclamptic signs (proteinuria and edema) were associated. Patients were promptly treated with diazepam, in order to stop seizures, and with clonidine and dihydralazine respectively to control blood pressure. After the acute phase patients developed a partial epilepsy with occipital lobe seizures without other neurological defects. Neuroimaging failed to disclose any lesion during the acute phase and for 4 and 5 years of follow up. The EEG showed occipital spike-wave discharges in both cases. Selective vulnerability of the occipital lobes during eclamptic hypertensive encephalopathy has been previously described. An aggressive antihypertensive treatment of the acute phase may exacerbate the risk of a permanent neurological lesion producing the chronic condition of the above cases.
|Translated title of the contribution||Postpartum occipital lobe epilepsy|
|Number of pages||2|
|Journal||Bollettino - Lega Italiana contro l'Epilessia|
|Publication status||Published - 1993|
ASJC Scopus subject areas
- Clinical Neurology