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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
ALGARIN-LARA,, Holmes Rafael et al. Spontaneous intracerebral hemorrhage after severe preeclampsia during the mediate puerperium: A case report. Ginecol. obstet. Méx. [online]. 2022, vol.90, n.2, pp.196-201. Epub 30-Mayo-2022. ISSN 0300-9041. https://doi.org/10.24245/gom.v90i2.5773.
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.
Palabras llave : Puerperium; Aneurysm; Preeclampsia; Hemorrhage, Intracerebral; Proteinuria.