Atypical Eclampsia: A Case Report
Éclampsie Atypique : À Propos d’un Cas
DOI:
https://doi.org/10.5281/zenodo.18621488Keywords:
Éclampsie atypique ; prééclampsie ; post-partum tardif ; convulsionsAbstract
La prééclampsie est classiquement définie comme l’apparition d’une hypertension artérielle associée à une protéinurie ou à des signes de dysfonction d’organe après 20 semaines d’aménorrhée. L’éclampsie correspond à la survenue de convulsions tonico-cloniques en lien avec une prééclampsie. Cependant, des formes dites atypiques, sans hypertension ni protéinurie, sont décrites et peuvent représenter jusqu’à 8 % des éclampsies. Ces formes constituent un défi diagnostique et sont associées à un retard de prise en charge et à une augmentation de la morbi-mortalité maternelle. Nous rapportons le cas d’une primipare de 30 ans présentant des convulsions au troisième jour du post-partum sans élévation tensionnelle préalable et avec une protéinurie non significative.
Preeclampsia is classically defined as elevated blood pressure associated with significant proteinuria after 20 weeks of gestation. Eclampsia is one of its complications and is characterized by the occurrence of seizures in the context of pregnancy-related hypertension. However, atypical eclampsia has been described, occurring without hypertension or proteinuria. We report on the case of a 30-year-old primigravida who presented seizures in the absence of hypertension and without significant proteinuria. This case highlights the importance of recognizing atypical presentations to enable early diagnosis and appropriate management, thereby reducing maternal mortality.
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Copyright (c) 2026 Christiane Jivir Fomu Nsahlai, Simone Tanda, Michèle Florence Mendoua, Ntsama Menanga Patricia Thérèse, Mpono Emenguele Pascale, Nyada Serge Robert, Mboua Batoum Véronique Sophie, Ngono Akam Marga Vanina, Tompeen Isidore, Ebong Cliford Ebontane, Mve Koh Valère Simon
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