BACKGROUND:

The immunological challenges associated with pregnancy and uteroplacental hypoxia are essential changes during the peripartum and puerperium period, which generates a high risk of endothelial rupture and the appearance of spontaneous intracerebral hemorrhage. Its etiology is unknown, however, it is associated with risk factors such as the presence of aneurysms, preeclampsia/eclampsia, coagulopathies, among others, with computed axial tomography of the skull being the initial diagnostic method.

OBJECTIVE:

Demonstrate the risk of spontaneous intracerebral hemorrhage after severe preeclampsia during the mediate puerperium by describing a clinical case for comparison with the current literature.

CLINICAL CASE:

28-year-old patient in the mediate puerperium, presenting with sudden onset left brachiocrural hemiparesis after spontaneous intracerebral hemorrhage associated with elevated blood pressure and positive 24-hour proteinuria, requiring hospitalization in an intensive care unit. The patient received interdisciplinary management leading to a good neurological evolution and better blood pressure control without permanent sequelae.

CONCLUSIONS:

Despite being a low incidence pathology, it is recommended to design care routes during pregnancy and the puerperium to better blood pressure control figures and prevent the risk of spontaneous intracranial hemorrhage.