Atraumatic Subdural Hematoma in Preeclampsia With Lethal Outcome

Abstract

Preeclampsia occurs in about 8% of pregnancies, causing significant morbidity and mortality in this patient population. Subdural hematoma atraumatic absence of coagulopathy is a rare complication of preeclampsia. We present a case of a 31-year-old female with 33 weeks of gestation, who sought treatment for high blood pressure, headache, and proteinuria. After cesarean delivery, the patient developed headache thunderclap and papilledema, and a computed tomography scan revealed a subdural hematoma in the left parietal region, with edema and midline deviation. The patient developed cardiac arrest probably due to herniation. The article reviews the neurological complications of pregnancy and delivery, focusing on subdural hematoma.




J Clin Gynecol Obstet. 2015;4(1):191-192
doi: http://dx.doi.org/10.14740/jcgo311w