HYPERTENSIVE INTRACRANIAL HAEMORRHAGE IN ADVANCED PREGNANCY: A RARE CLINICAL ENTITY

Main Article Content

Dr. Saumya Harsh Mittal
Dr. Salony Mittal
Dr. Neerja Goel

Abstract

A young pregnant women in her third trimester presented with loss of consciousness and drowsiness. She was diagnosed with hypertensive brain haemorrhage. Both mother and foetus could be saved with emergency lower segment caesarean section and conservative management for brain haemorrhage. At three months follow-up, the mother showed no neurological deficits. Pregnancy can be an important risk factor for stroke. Post-partum state and peri-partum state, are the commonest phases when intracranial haemorrhage can occur. Brain haemorrhage during these phases cause maternal and foetal mortality. Stroke (infarct and haemorrhage) is a rare entity in pregnancy. Brain haemorrhage may be subdivided into intracranial haemorrhage, subdural haemorrhage and subarachnoid haemorrhage. The risk factors for mother and foetus are obvious. The management may be medical, surgical, endovascular or radiological. The selection of the treatment depends upon the type of haemorrhage, the stage of pregnancy, the maternal and foetal status, associated co-morbidities and vascular findings. Pregnancy should not preclude the investigation and treatment options available. A treatment decision should be taken keeping in mind the maximum benefit to mother and foetus. Brain haemorrhage in pregnancy is a rare presentation with significant mortality and poor prognosis. One needs to be aware of the treatment options available and have no hesitancy in proceeding with the treatment.

Article Details

Section
CASE REPORTS: