A life threatening intracerebral hemorrhage during pregnancy

Authors

  • Kamala Verma Department of Obstetrics & Gynaecology, S.P. Medical College and Associate Group of P.B.M. Hospital, Bikaner Rajasthan, India
  • Sudesh Agrawal Department of Obstetrics & Gynaecology, S.P. Medical College and Associate Group of P.B.M. Hospital, Bikaner Rajasthan, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20150104

Keywords:

Intracerebral hemorrhage, Stroke, Cesarean section, Antenatal period, Complication

Abstract

Intracerebral hemorrhage (ICH) during antenatal period is an infrequent but serious complication. This is a case of elderly woman with pregnancy induced hypertension who developed spontaneous ICH during the thirty five week of pregnancy. She presented to our emergency department with altered sensorium, aphasia and hemiparesis. Intracerebral hemorrhage was diagnosed by MRI. Magnetic resonance angiography failed to identify an aneurysm or arteriovenous malformation.  She underwent successful emergency cesarean section. In this case we report the rare Intracerebral hemorrhage (ICH) during antenatal period and its challenging complication, diagnosis and management

References

Tate J, Bushnell C. Pregnancy and stroke risk in women. Women’s Health (London, England). 2011 May;7(3):363-74.

Simolke GA, Cox SM, Cunningham FG. Cerebrovascular accidents complicating pregnancy and the puerperium. Obstet Gynecol. 1991 Jul;78(1):37-42.

Bateman BT, Schumacher HC, Bushnell CD, Pile-Spellman J, Simpson LL, Sacco RL, et al. Intracerebral hemorrhage in pregnancy: frequency, risk factors, and outcome. Neurology. 2006 Aug;67(3):424-9.

Dai X, Diamond JA. Intracerebral hemorrhage: a life-threatening complication of hypertension during pregnancy. J Clin Hypertens (Greenwich, Conn.). 2007 Nov;9(11):897-900.

Veillon EW, Martin JN. Pregnancy-related stroke. In: Veillon EW, Martin JN, eds. Critical Care Obstetrics. 5th ed. London: Wiley-Blackwell; 2010: 235-255.

James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet Gynecol. 2005 Sep;106(3):509-16.

Kittner SJ, Stern BJ, Feeser BR, Hebel R, Nagey DA, Buchholz DW, et al. Pregnancy and the risk of stroke. N Engl J Med. 1996 Sep;335(11):768-74.

Witlin AG, Friedman SA, Egerman RS, Frangieh AY, Sibai BM. Cerebrovascular disorders complicating pregnancy--beyond eclampsia. Am J Obstet Gynecol. 1997 Jun;176(6):1139-45.

Sharshar T, Lamy C, Mas JL. Incidence and causes of strokes associated with pregnancy and puerperium. A study in public hospitals of Ile de France. Stroke in Pregnancy Study Group. Stroke. 1995 Jun;26(6):930-6.

Hameed AB, Shrivastava VK, Blair L, Wing DA. Intracranial hemorrhage in pregnancy. AJP Rep. 2012 Nov;2(1):47-50.

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Published

2017-02-08

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Section

Case Reports