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Federación Mexicana de Ginecología y Obstetricia, A.C.

2022, Number 02

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Ginecol Obstet Mex 2022; 90 (02)

Spontaneous intracerebral hemorrhage after severe preeclampsia during the mediate puerperium: A case report

Algarín-Lara HR, García-Perlaza CJ, Patiño-Patiño JJ, Maldonado-Ramírez NE, Aldana-Roa M, Osorio-Rodríguez EL

Language: Spanish
References: 11
Page: 196-201
PDF size: 175.25 Kb.


ABSTRACT

Background: The immunological challenges associated with pregnancy and uteroplacental hypoxia are essential changes during the peripartum and puerperium period, which generates a high risk of endothelial rupture and the appearance of spontaneous intracerebral hemorrhage. Its etiology is unknown, however, it is associated with risk factors such as the presence of aneurysms, preeclampsia/eclampsia, coagulopathies, among others, with computed axial tomography of the skull being the initial diagnostic method.
Objective: Demonstrate the risk of spontaneous intracerebral hemorrhage after severe preeclampsia during the mediate puerperium by describing a clinical case for comparison with the current literature.
Clinical case: 28-year-old patient in the mediate puerperium, presenting with sudden onset left brachiocrural hemiparesis after spontaneous intracerebral hemorrhage associated with elevated blood pressure and positive 24-hour proteinuria, requiring hospitalization in an intensive care unit. The patient received interdisciplinary management leading to a good neurological evolution and better blood pressure control without permanent sequelae.
Conclusions: Despite being a low incidence pathology, it is recommended to design care routes during pregnancy and the puerperium to better blood pressure control figures and prevent the risk of spontaneous intracranial hemorrhage.


REFERENCES

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