Intracerebral hemorrhage in a patient with preeclampsia and HELLP syndrome which was diagnosed after caesarean section : A case report.
10.4097/kjae.2009.56.5.592
- Author:
Jae Gyok SONG
1
;
Seok Kon KIM
;
Jong Hyun EUN
Author Information
1. Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University, Cheonan, Korea. skkim@dankook.ac.kr
- Publication Type:Case Report
- Keywords:
HELLP syndrome;
Hypertension;
Intracerebral hemorrhage;
Preeclampsia
- MeSH:
Abdominal Pain;
Adult;
Anesthesia, General;
Basal Ganglia;
Blood Pressure;
Brain;
Brain Death;
Brain Edema;
Cerebral Hemorrhage;
Cesarean Section;
Consciousness;
Early Diagnosis;
Emergencies;
Female;
Headache;
Heart Rate;
HELLP Syndrome;
Hemorrhage;
Humans;
Hypertension;
Multiple Organ Failure;
Nausea;
Pre-Eclampsia;
Pregnancy;
Vomiting
- From:Korean Journal of Anesthesiology
2009;56(5):592-596
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intracerebral hemorrhage (ICH) is one of very dangerous complications of preeclampsia/eclampsia. We experienced postoperative ICH in a 39-year-old woman with preeclampsia and HELLP syndrome. The paturient complained severe headache and upper abdominal pain with nausea and vomiting. Her initial blood pressure was 190/120 mmHg and her heart rate was 80 beat/min. The diagnosis of preeclampsia with HELLP syndrome was confirmed by the severe hypertension and the laboratory findings. She was drowsy at the emergency room but she lost consciousness when transferring to the operation room. Caesarean section was done under general anesthesia. After the operation she could not recover self-respiration and consciousness. Her brain CT showed ICH in the basal ganglia with intraventricular hemorrhage and severe brain edema. She expired one the 5 th post operative day due to brain death and multiple organ failure. Early diagnosis is the key to treating ICH.
