Beware of delayed severe brain swelling after intracerebral haematoma in HELLP syndrome

G Gioffre; PA Bodkin; EK Labram A Shetty

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Beware of delayed severe brain swelling after intracerebral haematoma in HELLP syndrome

机译：谨防HELLP综合征脑出血后脑延迟严重肿胀

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Haemolysis, elevated liver enzymes and low platelets (HELLP) syndrome is a condition associated with increased risk of adverse outcomes during pregnancy and peripartum, including neurological complications. We report the third case in the world literature of delayed brain swelling following cerebral haemorrhage as a complication of HELLP syndrome. A 36-year-old woman in labour developed HELLP, which was complicated with intracerebral haematoma. This was evacuated, but motor impairment persisted after surgery and unfortunately the patient died unexpectedly during the I Ith postoperative day. Computer tomographic brain scans documented diffuse cerebral swelling, which we think may have been caused by cerebral vasospasm. Cerebral vasospasm should always be considered when managing patients who suffered from stroke complicating HELLP syndrome. Close monitoring is advised even in later stages of recovery.

机译：溶血，肝酶升高和低血小板（HELLP）综合征是与妊娠和围产期不良结局风险增加相关的疾病，包括神经系统并发症。我们报告了世界出血脑出血后迟发性肿胀的第三例，这是HELLP综合征的并发症。一名36岁的劳动妇女发展为HELLP，并发脑内血肿。撤离了，但是手术后运动障碍持续存在，不幸的是，患者在术后第I天意外死亡。计算机断层扫描脑扫描记录了弥漫性脑肿胀，我们认为这可能是由脑血管痉挛引起的。处理患有中风并发HELLP综合征的患者时，应始终考虑脑血管痉挛。建议即使在恢复的后期也要进行密切监视。

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《Obstetric medicine》 |2013年第3期|共3页
作者
G Gioffre; PA Bodkin; EK Labram A Shetty;
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正文语种 eng
中图分类妇产科学;
关键词
Cerebral swelling; HELLP syndrome; intracerebral haemorrhage; cerebral vasospasm;

机译：脑肿胀;HELLP综合征;脑出血;脑血管痉挛;

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1. Beware of delayed severe brain swelling after intracerebral haematoma in HELLP syndrome [J] . G Gioffre, PA Bodkin, EK Labram A Shetty Obstetric medicine . 2013,第3期

机译：谨防HELLP综合征脑出血后脑延迟严重肿胀
2. Spontaneous acute subdural haematoma and intracerebral haemorrhage in patient with HELLP syndrome: case report [J] . H. Yokota, K. Miyamoto, K. Yokoyama, Acta Neurochirurgica . 2009,第12期

机译：HELLP综合征患者自发性急性硬脑膜下血肿和脑出血的病例报告
3. Intracerebral haematomas after deep brain stimulation surgery in a patient with Tourette syndrome and low factor XIIIA activity. [J] . Idris Z, Ghani AR, Mar W, Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia . 2010,第10期

机译：图雷特综合征和低XIIIA活性患者深部脑刺激手术后的脑内血肿。
4. Regional Anaesthesia for Primary Caesarean Section in Patients with HELLP Syndrome [C] . S. Palit, G. Palit, M. Vercauteren, European Congress of Perinatal Medicine . 2008

机译：HellP综合征患者的原发性剖腹产区域麻醉
5. Evaluation of Renal Injury and Maternal Health in Rodents with a History of HELLP Syndrome with and without Acute Kidney Injury [D] . Szczepanski, Jamie L. 2020

机译：啮齿动物肾伤和孕产妇健康评估，患有急性肾损伤的Hellp综合征史
6. Beware of delayed severe brain swelling after intracerebral haematoma in HELLP syndrome [O] . G Gioffrè, Pa Bodkin, Ek Labram, 2013

机译：谨防HELLP综合征脑出血后脑延迟严重肿胀
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Beware of delayed severe brain swelling after intracerebral haematoma in HELLP syndrome

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