[Acute intracranial haemorrhage during delivery--a case report].
An acute intracranial haemorrhage during delivery or pregnancy is a rare complication and usually observed in connection with risk factors. We present the clinical course of a 32-year-old primigravida in the 40th week of gestation delivered in general anaesthesia by Caesarean section after premature rupture of the membranes and obstructed labour. Immediately after delivery and extubation, the patient appeared drowsy and with reduced consciousness. An emergency CCT presented an acute frontal haemorrhage with intraventricular bleeding. In this case there was no history of risk factors and no origin of the bleeding could be identified. A complete remission of the symptoms was achieved after ventricular drainage, intensive care support and consecutive rehabilitation.
Schulze
K
K
Klinik für Geburtshilfe und Gynäkologie-Perinatalzentrum-Marienhospital Osnabrück. kristina.meff ert@gmx.de
Greiner
C
C
Butterwegge
M
M
D000328:Adult; D000770:Anesthesia, Endotracheal; D000773:Anesthesia, Obstetrical; D002552:Cerebral Ventricles / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery; D007231:Infant, Newborn; D020300:Intracranial Hemorrhages / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D009460:Neurologic Examination; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000601:surgery; D011247:Pregnancy; D014057:Tomography, X-Ray Computed; D014696:Ventriculostomy