A Case of HELLP Syndrome with Liver Infarction and Cerebral Venous Thrombosis
Journal of the Korean Society of Emergency Medicine
; : 317-321, 2005.
Article
en Ko
| WPRIM
| ID: wpr-87227
Biblioteca responsable:
WPRO
ABSTRACT
We describe a rare case of cerebral venous thrombosis and liver infarction with HELLP syndrome in a 25-year-old woman with eclampsia. She had complained of epigastric pain and had visited a local hospital for treatment. Also, signs of fetal distress were presented. After an emergency cesarean section, generalized tonic-clonic seizure occurred twice at a 10-minute interval. The patients was transferred to our emergency room, and the neurologic examination at that time, revealed a deep drowsy mentality and positive Babinski's sign; the deep tendon reflex was two positive. The laboratory findings revealed thrombocytopenia, an elevated liver function test, abnormal coagulation profiles. A bilateral ischemic change with left basal ganglia hemorrhage was seen on brain CT, and multiple foci of ill defined low-density lesions, mainly in the subcapsular portion of the liver and perivascular space, were visible on the abdominal CT. There was a faint showing of the deep venous system on the angiogram of both carotid arteries and a cerebral venous thrombosis was confirmed by using 4-vessel angiography. During the following 2 days, the cerebral hemorrhage and the low-density lesion were resolved through applications of heparin, and the patient returned to a nearly alert mental status. Finally she died of a hemorrhagic shock as a complication of disseminated intravascular coagulation.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Reflejo de Estiramiento
/
Convulsiones
/
Choque Hemorrágico
/
Trombocitopenia
/
Encéfalo
/
Angiografía
/
Heparina
/
Arterias Carótidas
/
Tomografía Computarizada por Rayos X
/
Hemorragia Cerebral
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
Ko
Revista:
Journal of the Korean Society of Emergency Medicine
Año:
2005
Tipo del documento:
Article