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Journal of Korean Neurosurgical Society 2001;30(3): 371-375.
Intracranial Hemorrhage Developed from Patient Who Had Been Preeclampsia at Five Days Postpartum.
Chang Woo Lee, Yong Seog Kim, Moon Sun Park, Ho Guyn Ha, Jong Sun Lee, HO Jung, Joo Seung Kim
Department of Neurosurgery, Eulji University School of Medicine, Daejeon, Korea.
Intracranial hemorrhage due to preeclampsia in the postpartum woman is rarely documented. Generally, the incidence of stroke is increased during pregnancy and early postpartum. Preeclampsia is considered a main cause of both nonhemorrhagic and hemorrhagic stroke. We present a 32-year-old woman who had intracranial hemorrhage at 5 days postpartum. At admission, her consciousness was semicomatose with elevated blood pressure. Computerized tomography revealed intracranial hemorrhage on right frontal lobe. Additional angiography did not reveal abnormal vascular lesion. Emergency craniectomy with hematoma removal was done. However, the patient showed no recovery and died 2 weeks later. We conclude that postpartum care of preeclampsia is important to prevent intraparenchymal hemorrhage. Relative high risk of stroke during the postpartum period suggests a causal roles for the large decrease in blood volume or the rapid changes in hormonal status that follow a live birth or stillbirth, perhaps by means of hemodynamics, coagulative, or vessel wall changes.
Key Words: Preeclampsia; Intraparenchymal hemorrhage; Postpartum
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