Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report
Introduction: Intracerebral hemorrhage (ICH) is a rare complication in pre-eclampsia. It is potentially devastating event to occur in pregnancy and associated with significant maternal morbidity and mortality. Case study: A 28-year-old primigravida with pre-eclampsia at 30 weeks 5 days period of g...
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Format: | Article |
Language: | English |
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Khesar Gyalpo University of Medical Sciences of Bh
2022-08-01
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Series: | Bhutan Health Journal |
Online Access: | https://bhj.com.bt/index.php/bhj/article/view/248 |
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author | Sonam Gyamtsho Kesang Namgyel Sonam Jamtsho Karma Lhaden |
author_facet | Sonam Gyamtsho Kesang Namgyel Sonam Jamtsho Karma Lhaden |
author_sort | Sonam Gyamtsho |
collection | DOAJ |
description | Introduction: Intracerebral hemorrhage (ICH) is a rare complication in pre-eclampsia. It is potentially devastating event to occur in pregnancy and associated with significant maternal morbidity and mortality.
Case study: A 28-year-old primigravida with pre-eclampsia at 30 weeks 5 days period of gestation, presented with altered sensorium and emergency caesarean revealed massive concealed placental abruption with intrauterine fetal death. She later presented with left sided hemiparesis. Non-contrast computed tomography confirmed intracerebral frontal hemorrhage. Other radiodiagnosis tests done ruled out rupture arterial aneurysms, arteriovenous malformations and cerebral venous sinus thrombosis. She underwent decompressive craniectomy andvacuation of blood clot for intracerebral hemorrhage. Her Modified Rankin score was 2 at the time of her discharge. Conclusion: The complication of intracerebral hemorrhage with preeclampsia is rare. An early diagnosis, timely referral and interventions are associated with decreased maternal and perinatal morbidity and mortality. |
first_indexed | 2024-03-11T15:56:31Z |
format | Article |
id | doaj.art-02af448d6e014626b721b57ea9e9b0db |
institution | Directory Open Access Journal |
issn | 2413-2993 2415-1114 |
language | English |
last_indexed | 2024-03-11T15:56:31Z |
publishDate | 2022-08-01 |
publisher | Khesar Gyalpo University of Medical Sciences of Bh |
record_format | Article |
series | Bhutan Health Journal |
spelling | doaj.art-02af448d6e014626b721b57ea9e9b0db2023-10-25T09:19:28ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142022-08-0181182210.47811/bhj.141249Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case reportSonam Gyamtsho0Kesang Namgyel1Sonam Jamtsho2Karma Lhaden3Department of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanDepartment of Internal Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanDepartment of Surgery, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanFaculty of Postgraduate Medicine, Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, BhutanIntroduction: Intracerebral hemorrhage (ICH) is a rare complication in pre-eclampsia. It is potentially devastating event to occur in pregnancy and associated with significant maternal morbidity and mortality. Case study: A 28-year-old primigravida with pre-eclampsia at 30 weeks 5 days period of gestation, presented with altered sensorium and emergency caesarean revealed massive concealed placental abruption with intrauterine fetal death. She later presented with left sided hemiparesis. Non-contrast computed tomography confirmed intracerebral frontal hemorrhage. Other radiodiagnosis tests done ruled out rupture arterial aneurysms, arteriovenous malformations and cerebral venous sinus thrombosis. She underwent decompressive craniectomy andvacuation of blood clot for intracerebral hemorrhage. Her Modified Rankin score was 2 at the time of her discharge. Conclusion: The complication of intracerebral hemorrhage with preeclampsia is rare. An early diagnosis, timely referral and interventions are associated with decreased maternal and perinatal morbidity and mortality.https://bhj.com.bt/index.php/bhj/article/view/248 |
spellingShingle | Sonam Gyamtsho Kesang Namgyel Sonam Jamtsho Karma Lhaden Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report Bhutan Health Journal |
title | Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report |
title_full | Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report |
title_fullStr | Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report |
title_full_unstemmed | Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report |
title_short | Intracerebral hemorrhage (ICH)-a rare complication of Pre-eclampsia: a case report |
title_sort | intracerebral hemorrhage ich a rare complication of pre eclampsia a case report |
url | https://bhj.com.bt/index.php/bhj/article/view/248 |
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