Abstract: Preeclampsia-eclampsia is a serious pregnancy complication，endangering mother and fetus. The typical symptoms of preeclampsia includes hypertension and proteinuria. However，in recent years，studies suggest that preeclampsia-eclampsia is just like other syndromes with many atypical presentations. As a result， it is important that clinicians make timely and accurate diagnosis to prevent adverse maternal and fetal outcomes associated with these syndromes. The manifestation， diagnosis and treatment of the atypical preeclampsia-eclampsia will be discussed in this review. The object is to increase awareness of these atypical features of preeclampsia-eclampsia，and to improve early diagnosis and treatment of the patients with atypical features.

Key words: Pre-eclampsia, Eclampsia, Capillary leak syndrome, HELLP syndrome, Diagnosis, Therapy