PERIOPERATIVE MANAGEMENT OF INTRA-PARTUM SEIZURE

A young nulliparous woman previously diagnosed with pregnancy-induced hyper-tension suffered en a seizure during active first stage labour. Pre-seizure blood pressure was borderline high but she did not fulfill other criteria for pre-eclampsia. She underwent emergency caesarean s ection for presumed eclampsia. Postoperatively, she deteriorated neuro logically. CT scan showed an intracranial haemorrhage requiring neuros urgical intervention. The similarities of presentation of a primary ce rebrovascular event and eclampsia following an intra-partum seizure ma de the differential diagnosis difficult.