Eclampsia Precedes Pre-Eclampsia

Eclampsia is an extremely severe form of preeclampsia characterized by the sudden onset of generalized tonic clonic seizures. It may occur quite abruptly, without any warning manifestations. This is a case report where Mrs.X was normotensive throughout her pregnancy who underwent emergency cesarean section for cephalo pelvic disproportion and threw generalized tonic clonic seizures on the first post-operative day with a normal BP recording. Later she started developing hypertension with proteinuria with normal liver enzymes and platelet counts. This signifies that eclampsia may not always be preceded by preeclampsia and can also develop in a normotensive woman without derangement of the biochemical parameters.