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Eclampsia is the onset of seizures (convulsions) in a woman with pre-eclampsia. [1] Pre-eclampsia is a hypertensive disorder of pregnancy that presents with three main features: new onset of high blood pressure, large amounts of protein in the urine or other organ dysfunction, and edema.
In women with preeclampsia or eclampsia, magnesium sulfate is often prescribed to prevent the occurrence of seizures in the gestational parent. [13] Treatment should be continued from the time of diagnosis to several weeks postpartum given the increased risk of medical complications immediately following delivery of the fetus. [24]
The definitive treatment for pre-eclampsia is the delivery of the baby and placenta, but danger to the mother persists after delivery, and full recovery can take days or weeks. [13] The timing of delivery should balance the desire for optimal outcomes for the baby while reducing risks for the mother. [ 15 ]
Those with PRES with seizures are treated using standard anticonvulsants used in other seizure disorders as there are no specific medications specific to PRES with seizures. [2] [1] However, in those with PRES due to pre-eclampsia or eclampsia, IV magnesium sulfate is the preferred medication for both seizures and hypertension. [2]
“Additionally, assessment and control of other risk factors (e.g., sleep apnea) may be considered prior to or concurrent with initiation of semaglutide or tirzepatide treatment,” Krauss added.
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When it occurs in pregnancy it is known as eclampsia. [2] The diagnosis requires ruling out other possible causes. [1] The condition is generally treated with medications to relatively rapidly lower the blood pressure. [2] [3] This may be done with labetalol or sodium nitroprusside given by injection into a vein. [2]
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