Register | Login

Asian Journal of Research and Reports in Neurology

  • About
    • About the Journal
    • Submissions & Author Guideline
    • Accepted Papers
    • Editorial Policy
    • Editorial Board Members
    • Reviewers
    • Printed Hard copy
    • Subscription
    • Membership
    • Publication Ethics and Malpractice Statement
    • Digital Archiving
    • Contact
  • Archives
  • Indexing
  • Publication Charge
  • Submission
  • Testimonials
  • Announcements
Advanced Search
  1. Home
  2. Archives
  3. 2022 - Volume 5 [Issue 2]
  4. Case Study

Author Guidelines


Submit Manuscript


Editorial Board Member


Membership


Subscription


Fatal Spontaneous Intracranial Hemorrhage in a Low Risk Parturient: A Case Report with Review of Literature

  •   Vignesh Durai
  •   Babhani Pegu
  •   Yavana Suriya
  •   R. Sasirekha
  •   W. Vaibhav
  •   Veena Ranjan

Asian Journal of Research and Reports in Neurology, Volume 5, Issue 2, Page 45-55

Published: 23 July 2022

  • View Article
  • Download
  • Cite
  • Statistics
  • Share

Abstract


Intracerebral hemorrhage is uncommon during pregnancy when compared to puerperium and associated with devastating outcomes. This is a case of fatal intracerebral and subarachnoid hemorrhage in a 25 years woman who had supervised antenatal care in her second pregnancy. She had one transient diastolic blood pressure (BP) recording of 92mmHg at 35 weeks of gestation and home BP charting and subsequent recordings were normal. She presented at 39 weeks to emergency room in labour with signs of concealed abruption. There was history of transient headache on the day of admission but no other imminent symptoms. She had a seizure-like activity soon after arrival followed by which she lost her consciousness, and Dhaka’s regimen [Magnesium sulfate (MgSO4)] was started. She progressed spontaneously and delivered a 2800 grams fresh stillborn. Investigations suggested features of microangiopathic hemolytic anemia and acute kidney injury. Atonic postpartum hemorrhage was managed aggressively with oxytocics and blood products. There were two consecutive episodes of generalized tonic-clonic seizures (GTCS) despite MgSo4. Neuroimaging revealed diffuse subarachnoid hemorrhage (SAH) with multiple petechial bleeds in bilateral hemispheres. Despite worsening neurological symptoms with increased intracranial pressure, timely neurosurgical intervention was not possible due to associated coagulopathy. Subsequently, she became comatose and condition worsened on postnatal day 6. A retrospective history revealed antepartum eclampsia in her sister. Routine screening for preeclampsia in some form using either phenotypic or biomarkers will be lifesaving and unusual headaches in a pregnant woman warrant through evaluation as time is golden in cerebrovascular accidents.

Keywords:
  • Intracerebral hemorrhage
  • abruption
  • subarachnoid hemorrhage
  • disseminated intravascular coagulation
  • headache
  • pregnancy
  • cerebrovascular accidents
  • Full Article - PDF
  • Review History

How to Cite

Durai, V., Pegu, B., Suriya, Y., Sasirekha, R., Vaibhav, W., & Ranjan, V. (2022). Fatal Spontaneous Intracranial Hemorrhage in a Low Risk Parturient: A Case Report with Review of Literature. Asian Journal of Research and Reports in Neurology, 5(2), 45–55. Retrieved from https://journalajorrin.com/index.php/AJORRIN/article/view/56
  • ACM
  • ACS
  • APA
  • ABNT
  • Chicago
  • Harvard
  • IEEE
  • MLA
  • Turabian
  • Vancouver
  • Endnote/Zotero/Mendeley (RIS)
  • BibTeX
  • Abstract View: 75 times
    PDF Download: 27 times

Download Statistics

  • Linkedin
  • Twitter
  • Facebook
  • WhatsApp
  • Telegram
Make a Submission

Information

  • For Readers
  • For Authors
  • For Librarians

Current Issue

  • Atom logo
  • RSS2 logo
  • RSS1 logo


Copyright © 2010 - 2023 Asian Journal of Research and Reports in Neurology. All rights reserved.