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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

背景

脑出血是高血压孕妇中一种罕见但严重的并发症。

病例描述

我们描述了一例非典型病例，该患者无危险因素，在妊娠第34周时突然发生子痫和自发性脑出血。她成功接受了急诊剖宫产，随后进行了开颅手术。术中对脑血管的监测以及术后的磁共振血管造影检查均未发现动脉瘤、动静脉畸形、肿瘤或软脑膜疾病。

结论

我们讨论了该病例的处理方法，并回顾了关于妊娠患者开始降压治疗阈值的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/5dae6de4df31/SNI-3-65-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/d2587657bdd0/SNI-3-65-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/5c0dd1207207/SNI-3-65-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/5dae6de4df31/SNI-3-65-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/d2587657bdd0/SNI-3-65-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/5c0dd1207207/SNI-3-65-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b42/3385067/5dae6de4df31/SNI-3-65-g003.jpg

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Management of atypical eclampsia with intraventricular hemorrhage: A rare experience and learning!合并脑室内出血的非典型子痫的管理：一次罕见经历与经验教训！
Anesth Essays Res. 2015 May-Aug;9(2):257-9. doi: 10.4103/0259-1162.153768.

本文引用的文献

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Estrogen and neuroprotection: from clinical observations to molecular mechanisms.雌激素与神经保护：从临床观察到分子机制
Dialogues Clin Neurosci. 2002 Jun;4(2):149-61. doi: 10.31887/DCNS.2002.4.2/ddubal.
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Preeclampsia-eclampsia and the risk of stroke among peripartum in Taiwan.台湾地区子痫前期-子痫与围产期卒中风险
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Simultaneous craniotomy and caesarean section for trauma.创伤情况下的同期开颅手术和剖宫产术。
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Intracerebral hemorrhage: a life-threatening complication of hypertension during pregnancy.脑出血：妊娠期高血压的一种危及生命的并发症。
J Clin Hypertens (Greenwich). 2007 Nov;9(11):897-900. doi: 10.1111/j.1524-6175.2007.06613.x.
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Stroke complicating pregnancy and the puerperium.妊娠期及产褥期并发的中风
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Hypertens Pregnancy. 2004;23(3):247-56. doi: 10.1081/PRG-200030301.
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Smoking and risk of hemorrhagic stroke in women.女性吸烟与出血性中风风险
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