Late occurrence of diffuse cerebral swelling after intracerebral hemorrhage in a patient with the HELLP syndrome

Kimiaki Hashiguchi, Takanori Inamura, Kazuo Irita, Michie Abe, Eiichiro Noda, Shigeaki Yanai, Shosuke Takahashi, Masashi Fukui

Research output: Contribution to journalReview article

15 Citations (Scopus)

Abstract

Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome can occur at any time in the course of pregnancy and is associated with many complications including fatal stroke. A 37-year-old female presented with HELLP syndrome causing an intracerebral hematoma, which was treated by evacuation and mild hypothermia. Unexpected diffuse cerebral swelling occurred on the 15th day of the initially favorable postoperative course. Considerable impairment of consciousness persisted despite conservative therapy. Serial computed tomographic findings indicated delayed cerebral vasospasm as the cause of the swelling. Particularly careful management is required even beyond the first 2 weeks for patients with stroke as a complication of HELLP syndrome.

Original languageEnglish
Pages (from-to)144-148
Number of pages5
JournalNeurologia medico-chirurgica
Volume41
Issue number3
DOIs
Publication statusPublished - Apr 23 2001

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All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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