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Review
. 2007 Nov;9(11):897-900.
doi: 10.1111/j.1524-6175.2007.06613.x.

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

Xuming Dai  1 , Joseph A Diamond
Affiliations
Review

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

Xuming Dai et al. J Clin Hypertens (Greenwich). 2007 Nov.

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.

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Figure
Figure
Image of computed tomographic scan of head. Arrows indicate the area of hemorrhage.
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