TRANSIENT SEIZURE - A SUBTLE CLUE TO DIAGNOSIS OF SUBARACHNOID HEMORRHAGE

A case is described of a 25-year-old primigravida who sustained a tran sient seizure following the administration of an epidural bolus of loc al anaesthetic, She had previously complained of a headache, and 3 day s after caesarean section, died from subarachnoid haemorrhage, This ca se report highlights the difficulty in diagnosing subarachnoid haemorr hage in pregnancy and discusses the anaesthetic complications that may arise in the presence of an undiagnosed aneurysmal rupture. In this c ase the diagnosis was delayed due to absence of neurological signs, bu t the transient seizure may have been a clue to an earlier diagnosis.