Atypical Post Partum Eclampsia and Posterior Reversible Encephalopathy Syndrome

Pregnancy induced Hypertension also called as “Gestosis” plural “Gestoses” has a heterogeneous etiology. A case of atypical eclampsia with seizures in the postpartum, that required intravenous Magnesium sulphate is described. The two proposed theories of etiopathogeniesis of cerebral edema, “Vasogenic Theory” and “Cytotoxic theory” are discussed. The concept of “delta hypertension” is emphasized. Impaired fluid mobilization, decreased sodium excretion and imbalance between angiopoietic factors in the post partum period is discussed as the likely cause of post partum eclampsia.