子痫前期突发非典型病例产前大量脑出血后的完全康复。

Complete recovery after antepartum massive intracerebral hemorrhage in an atypical case of sudden eclampsia.

作者信息

Ghaly Ramsis F, Candido Kenneth D, Sauer Ruben, Knezevic Nebojsa Nick

机构信息

Ghaly Neurosurgical Associates, Aurora, IL, USA.

出版信息

Surg Neurol Int. 2012;3:65. doi: 10.4103/2152-7806.97167. Epub 2012 Jun 19.

DOI:10.4103/2152-7806.97167

PMID:22754730

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3385067/

Abstract

BACKGROUND

Intracerebral hemorrhage is an infrequent but severe complication in pregnant women with hypertension.

CASE DESCRIPTION

We describe an atypical case of a patient with no risk factors who developed sudden eclampsia and spontaneous intracerebral hemorrhage during the 34(th) week of pregnancy. She underwent successful emergent Cesarean section followed by craniotomy. Both intraoperative surveillance and postoperative magnetic resonance angiographic examination of the cerebral vessels failed to identify an aneurysm, arteriovenous malformation, tumor, or leptomeningeal disease.

CONCLUSION

We discuss the management of this case and review the literature regarding the threshold for which initiation of antihypertensive treatment is indicated in pregnant patients.

摘要