J Korean Neurosurg Soc.  2001 Mar;30(3):371-375.

Intracranial Hemorrhage Developed from Patient Who Had Been Preeclampsia at Five Days Postpartum

Affiliations
  • 1Department of Neurosurgery, Eulji University School of Medicine, Daejeon, Korea.

Abstract

Intracranial hemorrhage due to preeclampsia in the postpartum woman is rarely documented. Generally, the incidence of stroke is increased during pregnancy and early postpartum. Preeclampsia is considered a main cause of both nonhemorrhagic and hemorrhagic stroke. We present a 32-year-old woman who had intracranial hemorrhage at 5 days postpartum. At admission, her consciousness was semicomatose with elevated blood pressure. Computerized tomography revealed intracranial hemorrhage on right frontal lobe. Additional angiography did not reveal abnormal vascular lesion. Emergency craniectomy with hematoma removal was done. However, the patient showed no recovery and died 2 weeks later. We conclude that postpartum care of preeclampsia is important to prevent intraparenchymal hemorrhage. Relative high risk of stroke during the postpartum period suggests a causal roles for the large decrease in blood volume or the rapid changes in hormonal status that follow a live birth or stillbirth, perhaps by means of hemodynamics, coagulative, or vessel wall changes.

Keyword

Preeclampsia; Intraparenchymal hemorrhage; Postpartum

MeSH Terms

Adult
Angiography
Blood Pressure
Blood Volume
Consciousness
Emergencies
Female
Frontal Lobe
Hematoma
Hemodynamics
Hemorrhage
Humans
Incidence
Intracranial Hemorrhages*
Live Birth
Postnatal Care
Postpartum Period*
Pre-Eclampsia*
Pregnancy
Stillbirth
Stroke
Full Text Links
  • JKNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr