Peripartum Psychosis in Eclamptic Mothers: A Case Report

DOI

10.2991/978-94-6463-310-8_33How to use a DOI?

Keywords

Eclampsia; preeclampsia; peripartum psychosis; Donkin psychosis

Abstract

Background: Pre-eclampsia and Eclampsia are hypertension in pregnancy that affect multiple organ systems, including the central nervous system. Seizures or loss of consciousness are the most common complications that change the diagnosis of preeclampsia to Eclampsia. The neuropsychiatric complications of this endothelial disease include psychosis. Eclamptic psychosis, both with and without seizures (Donkin psychosis), can be categorized as a brief psychotic disorder with peripartum onset according to the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5).

Case report: Mrs. S, 21 years old, in her first pregnancy, at 34 weeks gestational age, came to the emergency department (ER) because of visual and auditory hallucinations. The patient then experiences seizures in the ER for 1-2 minutes. The patient's family reported that the patient had a history of preeclampsia, but she did not take her medication regularly. The obstetrician immediately consulted the patient and planned to undergo caesarean surgery to terminate the baby. After surgery, she became disorientated, agitated, violent toward others, and had paranoid delusions. She was given antipsychotic treatment, and after six days, she finally recovered to a condition where she did not remember experiencing delusions and being agitated but still remembered experiencing visual and auditory hallucinations.

Conclusion: The patient was diagnosed with a brief psychotic disorder with peripartum onset. This is caused by one of the organic diseases pregnant women suffer, Eclampsia, so the diagnosis can also be called eclampsia psychosis. She was treated with antipsychotic medication.

Copyright

© 2023 The Author(s)

Open Access

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TY  - CONF
AU  - Yosephine Simanjuntak
AU  - Vita Camellia
PY  - 2023
DA  - 2023/12/18
TI  - Peripartum Psychosis in Eclamptic Mothers: A Case Report
BT  - Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)
PB  - Atlantis Press
SP  - 217
EP  - 221
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-310-8_33
DO  - 10.2991/978-94-6463-310-8_33
ID  - Simanjuntak2023
ER  -