Spontaneous haemorrhagic stroke complicating severe pre-eclampsia in pregnancy: a case report in a resource-limited setting in Cameroon

• Main Authors: Paul Nkemtendong Tolefac, Nkemnji Standley Awungafac, Jacqueline Ze Minkande
• Format: Article
• Language: English
• Published: BMC 2018-12-01
• Series: BMC Pregnancy and Childbirth
• Subjects: Haemorrhagic stroke; Pre-eclampsia; Pregnancy; Severe preeclampsia; Case report
• Online Access: http://link.springer.com/article/10.1186/s12884-018-2157-7

Abstract Background Spontaneous intracerebral haemorrhage is a rare complication of preeclampsia during pregnancy associated with a high morbidity and mortality. Compared with the non-pregnant women stroke rates are relatively rare during pregnancy. Case presentation We report the case of a 32-year-old female Cameroonian gravida 4 para 3 who presented at 34 weeks of gestation with sudden onset of right sided hemiplegia associated with headache, blurred vision and a blood pressure of 182/126. Cerebral CT scan confirmed a left parietal spontaneous haemorrhage. Emergency caesarean delivery was done and the recovery uneventful. Conclusion This case highlights the importance of good neurological examination in pregnant women presenting with neurological symptoms as well as the place of multidisciplinary management in severe life threatening conditions.