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Ginecología y obstetricia de México
versão impressa ISSN 0300-9041
Resumo
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-Maio-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.
Palavras-chave : Puerperium; Aneurysm; Preeclampsia; Hemorrhage, Intracerebral; Proteinuria.