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Intracranial Tuberculoma Presenting as Atypical Eclampsia: A Case Report
Sendhil Coumary Arumugam1, Sharmila Murugesan2, Sunitha Pradeep3
1Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and RI , Pondicherry, India .
Journal of Clinical and Diagnostic Research : JCDR
|August 10, 2016
Summary
Atypical eclampsia presents without typical hypertension or proteinuria. This case highlights cerebral tuberculosis mimicking eclampsia in late pregnancy, emphasizing the need for neurological evaluation.
Area of Science:
- Neurology
- Obstetrics
- Infectious Diseases
Background:
- Atypical eclampsia is defined by seizures occurring outside the typical gestational period or postpartum interval, and in the absence of classic signs like hypertension or proteinuria.
- Cerebral tuberculosis is a rare but severe manifestation of Mycobacterium tuberculosis infection, often spread hematogenously.
Observation:
- This report details a case of a pregnant patient experiencing seizures in late pregnancy.
- The patient's presentation mimicked eclampsia but lacked the characteristic signs of hypertension and proteinuria.
Findings:
- Neurological evaluation revealed the cause of seizures to be cerebral tuberculoma, a manifestation of tuberculosis.
- This finding underscores that atypical eclampsia symptoms can mask other serious neurological conditions.
Implications:
- Pregnant individuals presenting with seizure symptoms, especially those atypical for eclampsia, require thorough neurological assessment.
- Early diagnosis and treatment of conditions like cerebral tuberculoma are crucial for maternal and fetal outcomes.
- This case broadens the differential diagnosis for seizure disorders in pregnancy, emphasizing the importance of considering infectious etiologies.
