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

研究成果: Contribution to journalReview article査読

16 被引用数 (Scopus)

抄録

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.

本文言語英語
ページ(範囲)144-148
ページ数5
ジャーナルNeurologia medico-chirurgica
41
3
DOI
出版ステータス出版済み - 2001

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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