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Year : 2019  |  Volume : 5  |  Issue : 1  |  Page : 33-35

Postpartum Seizure Due to Neurocysticercosis: A Case of Diagnostic Dilemma

1 Department of Anaesthesia, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
2 Department of Anaesthesia, AIIMS, Rishikesh, India

Correspondence Address:
Dr. Bhavna Gupta
Quarter 2B, AIIMS Campus, Rishikesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mamcjms.mamcjms_11_19

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Seizure in early postoperative period in a postpartum female always poses diagnostic dilemma for both the anesthetist and the surgeon. We are reporting a 30-year-old primigravida with unremarkable history, except for few readings of high blood pressure during antenatal period who developed convulsions within 1 hour of delivery performed by lower segment cesarean section under spinal anesthesia. All relevant causes of postpartum seizure were ruled out and surprisingly magnetic resonance imaging of brain revealed cerebral neurocysticercosis; appropriate management and timely intervention resulted in uneventful recovery. The clinical manifestations of neurocysticercosis are variable and depend on the number, size, and location of cysts and the immune response of the host.

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