Anesth Pain Med.  2012 Oct;7(4):359-362.

A case of postpartum cerebral angiopathy with intracranial hemorrhage in Cesarean delivery: A case report

• Lee JW
• Kang H
• Lim TH
• Kim EG

Abstract

The occurrence of stroke during pregnancy and the postpartum period is uncommon but is a leading cause of maternal death. Postpartum cerebral angiopathy is one of the causes of the occurrence of stroke during peripartum. A 39-year-old woman with a gestational age of 38 weeks and with uncomplicated pregnancy was admitted to these authors' hospital and was made to undergo emergency Cesarean section under spinal anesthesia due to fetal distress. After the Cesarean delivery, it was found that her state of mind had changed into drowsiness to stupor in the post-anesthetic care unit. The brain computed tomography showed intracranial and subarachnoid hemorrhage. On the cerebral angiography, no aneurysm or arteriovenous malformation was found, except for the focal stenosis of the callosomarginal artery. Emergency decompressive craniectomy was done. After the craniectomy, the patient showed an alert mental status, mild Rt hemiplegia, and slight dysarthria three months after the surgery.

Keyword

Cerebral hemorrhage; Postpartum; Vasculitis; Vasocontriction

MeSH Terms

Adult
Anesthesia, Spinal
Aneurysm
Arteries
Arteriovenous Malformations
Brain
Cerebral Angiography
Cerebral Hemorrhage
Cesarean Section
Constriction, Pathologic
Decompressive Craniectomy
Dysarthria
Emergencies
Female
Fetal Distress
Gestational Age
Hemiplegia
Humans
Intracranial Hemorrhages
Maternal Death
Peripartum Period
Postpartum Period
Pregnancy
Sleep Stages
Stroke
Stupor
Subarachnoid Hemorrhage
Vasculitis