6533b851fe1ef96bd12aa191
RESEARCH PRODUCT
Status epilepticus in der Spätschwangerschaft - Eklampsie oder Subarachnoidalblutung?
A. MichalsenT. HenzeH. SchillingerK. EngelsD. Wagnersubject
PregnancyEclampsiabusiness.industryVascular diseaseGeneral MedicineStatus epilepticusCritical Care and Intensive Care Medicinemedicine.diseasefemale genital diseases and pregnancy complicationsEpilepsyAnesthesiology and Pain MedicineAnesthesiaEmergency MedicineEtiologyMedicineMedical historymedicine.symptombusinessComplicationreproductive and urinary physiologydescription
After a largely inconspicuous pregnancy, a 31-year old primipara suffered from a status epilepticus in the third trimenon. The convulsions could not be terminated by emergency medical services, resulting in aspiration of gastric contents. Assuming eclampsia, an emergency caesarean section was performed immediately in a central hospital. Postoperatively, a pathological pattern of tendon reflexes was noticed. A CT scan revealed subarachnoid haemorrhage. The causal aneurysm of the right A. pericallosa was clipped subsequently. Eclampsia is the leading cause of epileptic seizures during pregnancy. However, a different aetiology should always be considered, especially if medical history does not reveal symptoms of pre-eclampsia.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1997-06-01 | AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie |