Management of traumatic brain injury with atypical eclampsia in late preterm gestation with compound presentation in a young primigravida

Niyati Trivedi; Simmanjit Kaur; Himanshi Pareek; Kapil Dalal

doi:10.18203/2320-1770.ijrcog20262147

Authors

Niyati Trivedi Department of Obstetrics and Gynecology, MMIMSR, Mullana, Ambala, Haryana, India
Simmanjit Kaur Department of Obstetrics and Gynecology, MMIMSR, Mullana, Ambala, Haryana, India
Himanshi Pareek Department of Obstetrics and Gynecology, MMIMSR, Mullana, Ambala, Haryana, India
Kapil Dalal S. K. S. Hospital Medical College and Research Centre, Mathura, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20262147

Keywords:

Epidural haematoma, Extradural haematoma, Intraparenchymal haemorrhage, Atypical eclampsia, Late preterm gestation

Abstract

Traumatic brain injury (TBI) during pregnancy is rare but life-threatening. Coexisting obstetric complications such as atypical eclampsia further complicate diagnosis and management. A 19-year-old primigravida at late preterm gestation presented with multiple seizure episodes following a fall from stairs. She had no prior seizure disorder and was not booked for antenatal care. Clinical findings suggested antepartum atypical eclampsia with foetal distress associated with neuroimaging suggestive of extradural haematoma (EDH), intraparenchymal haemorrhage and un-displaced frontal bone fracture. Emergency caesarean section was performed. A live male neonate was delivered successfully. This case report highlights the importance of timely diagnosis and coordinated multidisciplinary management in patients presenting with concurrent obstetrics and traumatic neurological emergencies.

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