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40 y/o woman at 30 weeks gestation with preeclampsia, labile hypertension, and HELLP syndrome

Presentation

A G7P6 40-year-old woman at 30 weeks gestation presented with preeclampsia, labile hypertension, and HELLP syndrome (hemolysis, elevated liver function tests, and thrombocytopenia). She complained of an occipital headache and had an episode of nausea and vomiting. Soon after labor was induced the patient became confused and then obtunded. There was evidence of fetal distress. An emergency Cesarean section resulted in successful delivery of a male infant. A CT scan of the mother's head was performed after the delivery.

Images

CT images of the head

Description of Findings

Full case report

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