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Abstract

 

Seizures in the early postpartum period can have several differentials including eclampsia and cerebral venous thrombosis. Rare causes of seizures like spontaneous subarachnoid hemorrhage can create diagnostic dilemma in some cases. Though these cases are rare, yet those constitute the highly morbid complications of pregnancy and a detailed investigation is mandatory in all cases of postpartum seizures to come to a definitive diagnosis. In this article we present the case of a young primigravida who presented on the 10^th puerperal day with headache and episodes of generalized seizures. Radiological evaluation revealed acute subarachnoid hemorrhage involving the right sylvian fissure and basal cisterns extending into the anterior interhemispheric fissure. The absence of any aneurysms or vascular malformations on catheter angiogram along with negative coagulation screen led us to the diagnosis of cryptogenic subarachnoid hemorrhage as the cause of seizure. The lady responded to conservative management and is now on follow up without any recurrence of symptoms

Keywords: Seizure, postpartum, subarachnoid hemorrhage, cryptogenic.

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