Intracerebral hemorrhage in a patient with preeclampsia and HELLP syndrome which was diagnosed after caesarean section : A case report / 대한마취과학회지

Intracerebral hemorrhage (ICH) is one of very dangerous complications of preeclampsia/eclampsia. We experienced postoperative ICH in a 39-year-old woman with preeclampsia and HELLP syndrome. The paturient complained severe headache and upper abdominal pain with nausea and vomiting. Her initial blood pressure was 190/120 mmHg and her heart rate was 80 beat/min. The diagnosis of preeclampsia with HELLP syndrome was confirmed by the severe hypertension and the laboratory findings. She was drowsy at the emergency room but she lost consciousness when transferring to the operation room. Caesarean section was done under general anesthesia. After the operation she could not recover self-respiration and consciousness. Her brain CT showed ICH in the basal ganglia with intraventricular hemorrhage and severe brain edema. She expired one the 5 th post operative day due to brain death and multiple organ failure. Early diagnosis is the key to treating ICH.

Anesthetic Management of a Patient with Postpartum HELLP Syndrome: A case report / 대한마취과학회지

Hemolysis, elevated liver enzymes, and low platelet counts (HELLP) syndrome is one of the serious obstetric complications. The pathophysiology, diagnosis and treatment have not yet yet completely defined. HELLP syndrome usually develops during pregnancy and is associated with pregnancy-induced hypertension. In this case, a healthy multiparous woman having a normal gestational period and vaginal delivery developed massive postpartum bleeding with the suddenly progressive symptoms; hemorrhage, hemolysis, severely elevated liver enzymes, thrombocytopenia, acute renal failure, and pulmonary edemas. We report the case of anesthetic care for the patient with severe postpartum HELLP syndrome. The patient discharged without any severe complications 26 days after the surgery.