Recurrent Seizures in Pregnancy: Epilepsy or Eclampsia?

Seizure in peripartum is an obstetrical emergency with substantial morbidity and mortality for the mother and fetus. Among various causes of such seizures, sometimes 2 causative factors can occur, simultaneously creating a dilemma in pharmacotherapeutic management. This reports the case of a 23 years old primigravid woman, 38 weeks of gestation, with the chief complaints of about to give birth with recurrent seizures. She had previous epilepsy history. In this pregnancy, hypertension was diagnosed on admission. She underwent emergent cesarean delivery under general anesthesia to rescue the baby. Blood pressure control was achieved using amlodipine, ramipril and bisoprolol. High vigilance required for such patients, and therapy should be titrated according to patient response.