Pontine-bulbar Hemorrhage in a Complicated form of Preeclampsia with Eclampsia and HELLP Syndrome “Case Report”

The mortality rate from stroke in pregnant women is 1.4 per 100,000 births. Vascular malformations are the most common cause of hemorrhagic stroke in this population; preeclampsia and other risk factors have been identified. However, the cause of almost one in four strokes is unknown. Spontaneous intracranial hemorrhage (ICH) is less common but causes significant morbidity. Pontine-bulbar hemorrhage in the absence of trauma or dislocation of the vessels is an uncommon complication during pregnancy. Hypertension is the typical cause, Less frequently, these hemorrhages accompany a hemorrhagic diathesis or vascular malformation. We report the case of pontine-bulbar hemorrhage following an eclampsia attack. This case report aims to shed light on this complex medical situation, highlighting the need for careful consideration of the potential risks and benefits of treatment options.