Intracerebral Hemorrhage and HELLP Syndrome in Eclampsia: A Case Report.

Lee, Jae Ju; Han, Kyun; Lee, Hyun Sung; Park, Cheol Hong; Nam, Shin Woo

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(2):440-445.
Published online February 1, 2003.

Intracerebral Hemorrhage and HELLP Syndrome in Eclampsia: A Case Report.

Jae Ju Lee, Kyun Han, Hyun Sung Lee, Cheol Hong Park, Shin Woo Nam

¹Department of Obstetrics and Gynecology, Sun General Hospital, Dae Jeon, Korea.
²Department of Anesthesia, Sun General Hospital, Dae Jeon, Korea.

Abstract

Eclampsia is defined as the occurrence of convulsions, not caused by any coincidental neurologic disease such as epilepsy, in a woman whose condition also meets the criteria for preeclampsia. Intracerebral hemorrhage with eclampsia is rare but maternal mortality is 30-40%. Fetal outcome parallels that of the mother and reflects the maternal condition as well as gestational age at delivery. With noninvasive imaging technique of CT, the early diagnosis and proper management of intracerebral hemorrhage in a patient can be achieved. The syndrome of Hemolysis, Elevated Liver enzyme, Low Platelets (HELLP) is considered to be complication of severe preeclampsia-eclampsia. We report a case of intracerebral hemorrhage and HELLP syndrome in a patient with eclampsia.

Key Words: Eclampsia, Intracerebral hemorrhage, HELLP syndrome