title: [Case of postpartum intracerebral hemorrhage due to pregnancy induced hypertension].
abstract: A 32-year-old woman, gravida 0, para 0, was admitted to the obstetrics department of our hospital after a cesarean section at 35 weeks of gestation. The cesarean section was performed because pregnancy induced hypertension (PIH) had worsened. The next day, she suddenly became drowsy and developed right hemiparesis and anisocoria. Computed tomography of the brain showed intracerebral hemorrhage in the parietal lobe with uncal herniation. She underwent an urgent craniotomy and removal of the hematoma. Five days later, magnetic resonance angiography (MRA) of the brain showed vasospasm of the bilateral intracranial internal carotid arteries, middle cerebral arteries, and anterior cerebral arteries. Thirteen days later, cerebral angiography showed cessation of vasospasm and vascular abnormalities such as moyamoya disease, arteriovenous malformation and cerebral aneurysm were not observed. Twenty-one days later, MRA showed the absence of vasospasm in those arteries, but her right hemiparesis and sensory aphasia persisted. Twenty-six days later, she was transferred to another hospital for further rehabilitation. Neurosurgeons should be aware of the possibility of intracerebral hemorrhage caused by PIH. In this manuscript, we provide a case presentation and review of the literature.
authors: Department of Neurosurgery, Nara Medical University, Nara, Japan.
authors: Ryosuke
authors: R
authors: Matsuda
authors: Takatoshi
authors: T
authors: Fujimoto
authors: Kentaro
authors: K
authors: Tamura
authors: Yasushi
authors: Y
authors: Motoyama
authors: Young-Su
authors: YS
authors: Park
authors: Hiroyuki
authors: H
authors: Nakase
mesh_terms: D000328:Adult; D002585:Cesarean Section; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D046110:Hypertension, Pregnancy-Induced; D020299:Intracranial Hemorrhage, Hypertensive / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009072:Moyamoya Disease / Q000175:diagnosis / Q000209:etiology; D010291:Paresis / Q000209:etiology; D049590:Postpartum Period; D011247:Pregnancy; D020301:Vasospasm, Intracranial / Q000175:diagnosis / Q000209:etiology