Document Detail


Pseudotoxemia: new onset psychogenic seizure in third trimester pregnancy.
MedLine Citation:
PMID:  9404798     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Eclampsia, or toxemia of pregnancy, is a disorder of pregnancy characterized by seizures associated with hypertension, edema, and proteinuria. Toxemia carries significant maternal and fetal morbidity and mortality. Psychogenic seizures are defined as events that clinically resemble epileptic seizures but are not accompanied by abnormal electrical activity of the cerebral cortex. We report the case of a third trimester pregnant patient who presented with new onset convulsive activity that was associated with peripheral edema, intermittent hypertension, and proteinuria. The initial impression of the treating physicians--emergency medicine, obstetrical, and neurology--was toxemia of pregnancy. After further review and the application of numerous procedures and therapies with potential risk, the diagnosis of psychogenic seizure was made.
Authors:
W J Brady; J S Huff
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  15     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1997 Nov-Dec
Date Detail:
Created Date:  1998-03-03     Completed Date:  1998-03-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  815-20     Citation Subset:  IM    
Affiliation:
Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Conversion Disorder / diagnosis*
Diagnosis, Differential
Electroencephalography
Female
Humans
Pre-Eclampsia / diagnosis*
Pregnancy
Pregnancy Complications / diagnosis*
Pregnancy Trimester, Third
Seizures / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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