|
A 25 year-old post-partum woman developed headache, hypertension and seizures three days following delivery of a healthy baby. Following the seizures, she was lethargic with a stiff neck. |
| Multiple Intracerebral Hemorrhages.
Axial CT scans. Note the presence of multiple intracerebral
hemorrhages (right frontal, left temporal, left frontal and left
parietal). There is vasogenic edema surrounding the hemorrhages. If
one looks
closely at the hemorrhage in the right frontal lobe, one can see
that the blood has
dissected to the surface. This picture of multiple intracerebral hemorrhages in distinctly unusual. In this post-partum woman, the multiple hemorrhages were attributed to eclampsia. A similar picture may be seen in coagulopathies. Rarely, multiple hemorrhages will occur from metastatic disease to the brain. Metastatic tumors most likely to bleed include melanoma, choriocarcinoma, renal cell carcinoma and lung carcinoma. |
Revised
11/22/06.
Copyrighted 2006. David C Preston