Acute subdural hematoma following disseminated intravascular coagulation associated with an obstetric catastrophe.
The clinical, laboratory, radiological and operative recordings of a patient with disseminated intravascular coagulation (DIC) related to therapeutic abortion is reported. During a comatose state following respiratory arrest, anisocoria with right dilated unreactive pupil and decerebration signs appeared. A brain CT scan showed a right frontotemporal hemorrhage. On surgical intervention a subdural hematoma was found and removed. The patient remained in a persistent vegetative state. The rarity of subdural hematoma complicating DIC is presented and the causes of intracranial bleeding in obstetrics are reviewed.
Pollak
L
L
Department of Neurology, Assaf Harofeh Medical Center, Zerifin, Israel.
Schiffer
J
J
Leonov
Y
Y
Zaidenstein
R
R
D000032:Abortion, Therapeutic / Q000009:adverse effects* / Q000379:methods; D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000209:etiology*; D004619:Embolism, Amniotic Fluid / Q000209:etiology*; D005260:Female; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D018458:Persistent Vegetative State / Q000209:etiology; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011655:Pulmonary Embolism / Q000209:etiology*