Eclampsia differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

Seizures during pregnancy that are unrelated to preeclampsia need to be distinguished from eclampsia.

Differentiating Eclampsia from other Diseases

Such disorders include:

• Acute exacerbation of systemic lupus erythematous
• Aneurysm of the brain
• Brain tumor
• Disseminated herpes simplex
• Disseminated sepsis syndromes
• Fatty liver of pregnancy
• Hemolytic uremic syndrome
• Medication- or drug-related seizures
• Posterior reversible encephalopathy syndrome (PRES)
• Seizure disorders
• Thrombotic thrombocytopenic purpura

Usually the presence of the signs of severe preeclampsia that precede and accompany eclampsia facilitate the diagnosis.