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.
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.
Authors: Lewis B Morgenstern; J Claude Hemphill; Craig Anderson; Kyra Becker; Joseph P Broderick; E Sander Connolly; Steven M Greenberg; James N Huang; R Loch MacDonald; Steven R Messé; Pamela H Mitchell; Magdy Selim; Rafael J Tamargo Journal: Stroke Date: 2010-07-22 Impact factor: 7.914