A case of eclampsia associated with cerebral vasospasms is reported. A 24-year-old woman experienced a generalized seizure a few minutes after vaginal delivery of an infant. She was immediately tranferred to our hospital. On admission, she was drowsy, and had an obvious right hemiplegia. Computed tomography (CT) revealed increased intracranial pressure and multiple low-density areas in the parietal and occipital lobe and in the basal ganglia. Magnetic resonance imaging (MRI) showed abnormal hyperintense lesions on T2-weighted images in the same areas as the CT findings. Cerebral angiography on day 10 showed multi-segmental vasospasm of both anterior circulation. CT performed on day 30 after delivery and the attack showed that all abnormal findings had resolved. The patient was discharged without any neurological deficits. The mechanisms of the eclampsia remain uncertain, vasospasm and cosequent cerebral ischemia are the main pathogenetic mechanisms of eclampsia.
