Diagnostic Dilemma in Post Partum Seizures: A Case Report

Seizure in the early postoperative period in a postpartum female always poses a diagnostic dilemma for both the anesthesiologist and the surgeon. We are reporting a 26-year-old primigravida with unremarkable history during the antenatal period who developed convulsions within 45 minutes of delivery performed by lower segment cesarean section under spinal anesthesia. All relevant causes of postpartum seizure were ruled out and surprisingly magnetic resonance imaging of the brain revealed cerebral neurocysticercosis. Appropriate management and timely intervention resulted in an uneventful recovery. The clinical manifestations of neurocysticercosis are variable and depend on the number, size, and location of cysts and the immune response of the host.