Intracerebral hemorrhage: a life-threatening complication of hypertension during pregnancy.

Xuming Dai, Joseph A. Diamond

Research output: Contribution to journalReview articlepeer-review

11 Scopus citations

Abstract

Intracerebral hemorrhage (ICH) is an infrequent but severe complication in pregnant women with hypertension. The authors describe a patient with chronic hypertension who developed superimposed preeclampsia and spontaneous ICH during the thirty-fifth week of pregnancy. ICH was diagnosed by computed tomographic scan. She underwent successful emergent cesarean section and neurosurgical decompression of the ICH. Both intraoperative surveillance and postoperative magnetic resonance angiographic examination of the cerebral vessels failed to identify an aneurysm or arteriovenous malformation. The authors discuss the diagnosis and management in this case and review the literature regarding this challenging complication of pregnancy and preeclampsia. Controversies regarding treatment of hypertension during pregnancy are discussed in light of the impact on the management of this patient.

Original languageEnglish
Pages (from-to)897-900
Number of pages4
JournalJournal of Clinical Hypertension
Volume9
Issue number11
DOIs
StatePublished - Nov 2007
Externally publishedYes

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