Erschienen in:
01.12.2009 | Case Report
Spontaneous acute subdural haematoma and intracerebral haemorrhage in patient with HELLP syndrome: case report
verfasst von:
H. Yokota, K. Miyamoto, K. Yokoyama, H. Noguchi, K. Uyama, M. Oku
Erschienen in:
Acta Neurochirurgica
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Ausgabe 12/2009
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Abstract
HELLP (haemolysis, elevated liver enzymes, and low platelet count) syndrome can result in a fatal intracranial haemorrhage during the perinatal period. We report treatment of a 32-year-old primigravida who fell into a deep coma during labour with fetal distress, complicated by a spontaneous acute subdural haematoma and intracerebral haemorrhage. Simultaneous emergency operations, evacuation of the acute subdural haematoma and a caesarean section, were performed, during which a diagnosis of HELLP syndrome with disseminated intravascular coagulation was made. Both mother and infant recovered, though hemiparesis persisted in the mother. Patients with HELLP syndrome should be managed as high-risk, which requires an excellent working relationship of the physicians involved. Prompt recognition of intracranial haemorrhagic complications and neurosurgical intervention are particularly important.