Journal of Womens Health, Issues and Care ISSN: 2325-9795

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Case Report, J Womens Health Issues Care Vol: 3 Issue: 5

Intrapartum Hyponatremic Convulsion Mimicking Eclampsia

Stephen E.O. Ogbonmwan1* and Ikponmwonsa L. Ogbonmwan2
1Division of Women & Children, Department of Obstetrics & Gynaecology, North Cumbria University Hospital, Carlisle Cumbria, UK
2Newcastle Upon Tyne University Medical School, Newcastle Upon Tyne, Newcastle, UK
Corresponding author : Dr Stephen E. O. Ogbonmwan
Division of Women & Children, Department of Obstetrics & Gynaecology, North Cumbria University Hospital, Carlisle Cumbria, CA2 7HY, UK
Tel: +447813656936
E-mail: [email protected]
Received: June 09, 2014 Accepted: August 22, 2014 Published: August 27, 2014
Citation: Ogbonmwan SEO, Ogbonmwan IL (2014) Intrapartum Hyponatremic Convulsion Mimicking Eclampsia. J Womens Health, Issues Care 3:5. doi:10.4172/2325-9795.1000161

Abstract

Intrapartum Hyponatremic Convulsion Mimicking Eclampsia

Seizure resulting from water intoxication in pregnancy, labour and puerperium is rare. When it occurs, it is usually due to iatrogenic oxytocin infusion or in psychiatric disorder. This case report describes intra-partum seizure due to ingestion of seven litres of bottled water during labour. In the absence of other causes of convulsion in pregnancy, like eclampsia, epilepsy, social drug ingestion, severe hypoglycaemia, intracranial lesion like a brain tumour, meningitis or encephalitis, the most likely explanation is hyponatremia of 118 mmol/l which is defined as serum sodium concentration below 136 mmol/l.

Keywords: Intra-partum; Water intoxication; Hyponatremia; Seizures

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