Good outcome in HELLP syndrome with lobar cerebral hematomas.

BACKGROUND: HELLP syndrome is associated with high morbidity and mortality which is attributed most commonly to intracranial hemorrhage (ICH) and/or stroke. The presence of other complications further worsens the prognosis. METHODS: We present a rare case of HELLP syndrome which presented with ICH and further complicated by seizures, disseminated intravascular coagulation, and acute renal failure. RESULTS: Aggressive surgical and medical management of her ICH, HELLP syndrome and associated complications resulted in good functional recovery. Hypothermia seems to be a good adjunctive in treatment. CONCLUSION: ICH associated with HELLP syndrome when managed aggressively can have meaningful neurological recovery.