TITLE:
Successful Medical Management of Eclampsia-Induced Severe Intraventricular Haemorrhage in a Resource Limited Setting: A Case Report
AUTHORS:
Mosman Anyimbi Ofeh, Crysantus Yimlefack Nzometia, Emelinda Nyuydzefon Berrinyuy, Keith Gaby Njel, Essoh William Pondji, Marc Effila Ambassa, Quincy-Jones Tchumukong Shumbang, Bertolt Brecht Kouam, Felix Elong, Theophile Nana Njamen
KEYWORDS:
Preeclampsia, Eclampsia, Intracerebral Haemorrhage, Intracranial Haemorrhage
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.9,
September
9,
2026
ABSTRACT: Background: Preeclampsia is one of the hypertensive disorders in pregnancy which is still a leading cause of maternal mortality. It can be complicated by eclampsia and other neurological manifestations. Intracerebral haemorrhage is a rare complication, for which intraventricular haemorrhage has high mortality. Case Presentation: A 32-year-old multiparous woman was referred to our service in the immediate postpartum period after having a seizure 10 minutes after delivery. She received anticonvulsants, antihypertensives and was admitted to our ICU. A Brain CT scan revealed the presence of severe intraventricular haemorrhage for which she was treated with mannitol. The evolution was favourable and she was discharged on day 10 postpartum. On follow-up 2 weeks after discharge, she had no severe signs or neurological signs. Conclusion: Timely diagnosis is important, conservative management with anticonvulsants, anti hypertensives, control of raised intracranial pressure symptoms and multidisciplinary care can result in favourable outcomes in cases of eclampsia with intracranial haemorrhage.