Good outcome in HELLP syndrome with lobar cerebral hematomas.

BACKGROUND

HELLP syndrome is associated with high morbidity and mortality which is attributed most commonly to intracranial hemorrhage (ICH) and/or stroke. The presence of other complications further worsens the prognosis.

METHODS

We present a rare case of HELLP syndrome which presented with ICH and further complicated by seizures, disseminated intravascular coagulation, and acute renal failure.

RESULTS

Aggressive surgical and medical management of her ICH, HELLP syndrome and associated complications resulted in good functional recovery. Hypothermia seems to be a good adjunctive in treatment.

CONCLUSION

ICH associated with HELLP syndrome when managed aggressively can have meaningful neurological recovery.