Pontine-bulbar Hemorrhage in a Complicated form of Preeclampsia with Eclampsia and HELLP Syndrome “Case Report”
Asian Journal of Case Reports in Medicine and Health, Volume 6, Issue 1,
Page 42-46
Abstract
The mortality rate from stroke in pregnant women is 1.4 per 100,000 births. Vascular malformations are the most common cause of hemorrhagic stroke in this population; preeclampsia and other risk factors have been identified. However, the cause of almost one in four strokes is unknown. Spontaneous intracranial hemorrhage (ICH) is less common but causes significant morbidity. Pontine-bulbar hemorrhage in the absence of trauma or dislocation of the vessels is an uncommon complication during pregnancy. Hypertension is the typical cause, Less frequently, these hemorrhages accompany a hemorrhagic diathesis or vascular malformation. We report the case of pontine-bulbar hemorrhage following an eclampsia attack. This case report aims to shed light on this complex medical situation, highlighting the need for careful consideration of the potential risks and benefits of treatment options.
- Pontine-bulbar
- eclampsia
- HELLP syndrome
- pregnancy
- case report
How to Cite
References
Steegers EAP, Von Dadelszen P, Duvekot JJ, Pijnenborg R. Pre-eclampsia.
Foster S. Kellogg, Toxemias of pregnancy, The American Journal of Surgery.1937; 35(2):300-324.
ISSN 0002-9610. Available: https://doi.org/10.1016/S0002-9610(37)90103-X. Available:https://www.sciencedirect.com/science/article/pii/S000296103790103X
Kittner SJ, Stern BJ, Feeser BR, et al. Pregnancy and the risk of stroke. N Engl J Med1996;335:768–74.
[PMC free article] [PubMed] [Google Scholar]
Ganzevoort W, Rep A, Bonsel GJ, de Vries JI, Wolf H. Plasma volume and blood pressure regulation in hypertensive pregnancy. J Hypertens 2004;22:1235–42. [PubMed] [Google Scholar]
Ascanio LC, Maragkos GA, Young BC, Boone MD, Kasper EM. Spontaneous Intracranial Hemorrhage in Pregnancy: A Systematic Review of the Literature. Neurocrit Care. 2019;30(1):5-15.
DOI: 10.1007/s12028-018-0501-4. PMID: 29476390
Thomas SV. Neurologic aspects of eclampsia.
Lanska DJ, Kryscio RJ. Risk factors for peripartum and postpartum stroke and Intracranial Venous Thrombosis.
Moodley J. Maternal Deaths Associated with Hypertensive Disorders of Pregnancy: a population-Based Study.
Duley L, Henderson-Smart DJ, Chou D. Magnesium sulfate versus phenytoin for eclampsia.
Boufettal H, Moussaïd I, Noun M, Hermas S, Salmi S, Miguil M, et al. Recurrences during Pregnancy of Ischemic Stroke.
Sciscione AC, Hayes EJ. Uterine artery Doppler flow studies in obstetric practice. American journal of obstetrics and gynecology. 2009 Aug 1;201(2):121-6.
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