Gestational Diabetic Ketoacidosis Complicated by a Probable Postpartum Functional Neurological Disorder Following Severe Preeclampsia and Intrauterine Fetal Demise: A Case Report.
Migisha Kazeneza Patrick, Célestin Kaputu-Kalala-Malu Snr, Antoine Osongo Onanga W et al.
✦ AI-curated · Sources linked
Case in brief
A 28-year-old primigravida presented at 34 weeks and 5 days of gestation with gestational diabetic ketoacidosis, severe preeclampsia, and intrauterine fetal demise. She received intensive care and underwent an emergency cesarean delivery. Postpartum, she developed gait instability without focal neurological deficits, which was diagnosed as a functional neurological disorder. Symptoms resolved by postpartum day 11.
What made this case unusual
The case illustrates the development of a functional neurological disorder following severe obstetric complications, a rarely reported phenomenon.
Diagnostic / clinical pearl
Clinicians should consider functional neurological disorders in postpartum patients presenting with neurological symptoms after severe obstetric complications.
Why it matters
Recognizing the potential for functional neurological disorders in this context can lead to timely diagnosis and appropriate management, improving patient outcomes.