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VOLUME 4 , ISSUE 2 ( July-December, 2020 ) > List of Articles

CASE REPORT

Intracranial Hemorrhage in Eclampsia: An Unusual Case Report

Sangeeta Pahwa, Tavleen Kaur, Arshdeep Kaur

Keywords : Eclampsia, Glascow coma scale, Intracranial hemorrhage,Craniotomy

Citation Information : Pahwa S, Kaur T, Kaur A. Intracranial Hemorrhage in Eclampsia: An Unusual Case Report. Curr Trends Diagn Treat 2020; 4 (2):105-106.

DOI: 10.5005/jp-journals-10055-0097

License: CC BY-NC 4.0

Published Online: 22-03-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Though cerebrovascular accident in hypertensive disorders of pregnancy is a rare entity, it causes high morbidity and mortality because of unpredictable onset and late diagnosis. Incidence of intracranial hemorrhage (ICH) accompanying nonfatal eclampsia is unknown, but the lesion is found in 10–60% of all mortalities that occur due to eclampsia. We report an unusual case of a 25-year-old primigravida who developed sudden eclampsia and intracranial hemorrhage leading to a mass effect on the right ventricle and a midline shift. She was managed by a multidisciplinary approach involving an emergency lower section cesarean section by an obstetrician, a craniotomy by a neurosurgeon, and intensive care by an anesthesiologist.


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  1. Miniño AM, Heron MP, Murphy SL, et al. Deaths: final data for 2004. Nat Vital Stat Rep 2007;55(19):1–119. Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr55/nvsr55_19.pdf [accessed on Nov 4, 2007].
  2. Sibai BM, Caritis S, Hauth J. What we have learned about preeclampsia. Semin Perinatol 2003;27(3):239–246. DOI: 10.1016/s0146-0005(03)00022-3.
  3. ACOG Committee on Practice Bulletins—Obstetrics. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33, January 2002. Obstet Gynecol 2002;99(1):159–167. DOI: 10.1016/s0029-7844(01)01747-1.
  4. Lindheimer MD, Taler SJ, Cunningham FG. Hypertension in pregnancy. J Am Soc Hypertens 2008;2(6):484–494. DOI: 10.1016/j.jash.2008.10.001.
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