Hemorragia Subaracnoidea en Eclampsia Postparto

Abstract

This case is a 26 year old patient who presents with 10 days postpartum week, doing three days presents pulsatile holocraneana type headache of moderate intensity, accompanied by left brachial paresis, 24 hours ago apparently has tonic clonic movements generalized without loss of consciousness, so it goes to Professor Ambato Hospital, where removed stitches and manage complex B as reported by family and sent to your home, then continuous headache high intensity accompanied by scintillating scotoma, so go back and in the course presents tonic clonic movements of 10 minutes, in the emergency service is valued by filing a BP: 160/110 mmHg, FC: 110 lpm FR: 28 lpm ECG: 8/15 (O2V2M4) with loss of consciousness , hydrated, isochoric pupils, reactive to light, corneal reflex present, simple CT skull is requested findings subarachnoid hemorrhage front and small areas of hemorrhage in brain parenchyma so Eclampsia Postpartum Tardía and subarachnoid hemorrhage Hunt and Hess III diagnosed - Fisher II and mechanical ventilation, hydration, anticonvulsant, analgesia, gastric protection, antibiotics are prescribed, is hospitalized for six days in ICU for clinical use, with good clinical evolution, then it stays three days in the gynecology service with discharged home without complications.