Gebe Hastada İntraserebral Kanama: Olgu Sunumu

Öz

Serebrovaskuler olaylar farklı nedenlerden dolayı gebelik periyodunda artma eğilimindedir. Bu olgularda anne ve bebek açısından komplikasyon gelişme riski artmaktadır. Acil servise atipik nörolojik bulgularla başvuran gebe hastalar dikkatlice ele alınmalıdır. Olgumuzda başvurduğu önceki merkezlerde tanısı atlanan ve etyolojisi saptanamayan genç gebe hasta tartışılmıştır.

Anahtar Kelimeler

• İntraserebral kanama, gebelik, genç kadın, kanama

Intraserebral Hemorrage During Pregnancy: Case Report

Öz

Cerebrovascular accidents have a tendency to increase in pregnancy period because of different reasons. These events during pregnancy increase the risk of maternal and fetal complications. Pregnant patients who admit to ED with atypical neurological symptoms should be evaluated and followed more carefully. In our case, we showed a young pregnant woman with intracerebral hemorrgage (ICH) that was not found any reason for etiology and misdiagnosed in other center

Anahtar Kelimeler

• Intracerebral hemorrhage, pregnancy, young women, hemorrhage

Kaynakça

1. Witlin AG, Friedman SA, Egerman RS, Frangieh AY, Sibai BM. Cerebrovascular disorders complicating pregnancy-Beyond eclampsia. Am J Obstet Gynecol. 1997; 176:1139-48.
2. Bateman BT, Schumacher HC, Bushnell CD, Pile- Spellman J, Simpson L.L, Sacco R.L, et al. Intracerebral hemorrhage in pregnancy Frequency, risk factors, and outcome. Neurology 2006;67:424-429.
3. Klatsky AL, Friedman GD, Sidney S, Kipp H, Kubo A, Armstrong MA. Risk of hemorrhagic stroke in Asian-American ethnic groups. Neuroepidemiology 2005;25:26–31.
4. Riviello C, Ammannati F, Bordi L, Lamassa M, Mennonna P, Parretti E, et al. Pregnancy and subarachnoid hemorrhage: a case report J Matern Fetal Neonatal Med. 2004;16:245-6.
5. Kittner SJ, Stern BJ, Feeser BR, Hebel R, Nagey DA, Buchholz DW, et al. Pregnancy and the risk of stroke. N Engl J Med.1996;335:768–774.
6. Jeng JS, Tang SC, Yip PK. Incidence and etiologies of stroke during pregnancy and puerperium as evidenced in Taiwanase Women. Cerebrovasc Dis 2004;18:290-295.
7. Ness RB, Markovic N, Bass D, Harger G, Roberts JM. Family history of hypertension, heart disease, and stroke among women who develop hypertension in pregnancy. Obstet Gynecol. 2003;102:1366-71.
8. National High Blood Pressure Education Program Working Group. Report on high blood pressure in pregnancy.www.nhlbi.nih.gov/health/prof/heart/hbp/ hbp_preg.pdf (accessed 6 Feb 2003).

9. Simolke GA, Cox SM, Cunningham FG. Cerebrovascular accidents complicating pregnancy and the puerperium. Obstet Gynecol. 1991;78:37-42.
10. Jeng JS, Tang SC, Yip PK. Stroke in women of reproductive age: comparison between stroke related and unrelated to pregnancy. J Neurol Sci. 2004;221:25- 9.
11. Kluger BM, Meador KJ. Teratogenicity of antiepileptic medications. Semin Neurol. 2008;28:328-35.
12. Perucca E. Birth defects after prenatal exposure to anti- epileptic drugs. Lancet Neurol 2005;4:781-786.
13. Tatum WO. Use of antiepileptic drugs in pregnancy. Expert Rev. Neurotherapeutics 2006:6:1077-1086.
14. Beghi E, Annegeners JF. Collaborative group for the pregnancy registries in epilepsy. Eplepsia 2001:42:1142- 1425.
15. Atkinson DE, Brice-Bennett S, D’Souza SW. Antiepileptic medication during pregnancy: does fetal genotype affect outcome? Pediatr Res. 2007;62:120-7.
16. Tatum WO. Balancing the risks to the fetus from epileptic seizures and antiepileptic drug exposure in pregnancy. Expert Rev. Neurother. 2009:9:1707-1708.
17. Mariotti V, Marconi AM, Pardi G. Undesired effects of steroids during pregnancy. J Matern Fetal Neonatal Med. 2004;16:5-7.
18. Walfisch A, Hallak M, Mazor M. Multiple courses of antenatal steroids: risks and benefits. Obstet Gynecol. 2001;98:491-7.
19. Bain MD, Copas DK, Landon MJ, Stacey TE. In vivo permeability of the human placenta to inulin and mannitol. J Physiol. 1988;399:313-9.
20. Jansson T, Powell TL, Illsley NP. Non-electrolyte solute permeabilities of human placental microvillous and basal membranes. J Physiol. 1993;468:261-74.
21. Basso A, Fernández A, Althabe O, Sabini G, Piriz H, Belitzky R. Passage of mannitol from mother to amniotic fluid and fetus. Obstet Gynecol. 1977;49:628-31.