Korean J Anesthesiol.  2009 May;56(5):592-596. 10.4097/kjae.2009.56.5.592.

Intracerebral hemorrhage in a patient with preeclampsia and HELLP syndrome which was diagnosed after caesarean section : A case report

• Song JG
• Kim SK
• Eun JH

• KMID: 1782602
• DOI: http://doi.org/10.4097/kjae.2009.56.5.592

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.

Keyword

HELLP syndrome; Hypertension; Intracerebral hemorrhage; Preeclampsia

MeSH Terms

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