Evidence map›Paper›PMID 41939649›Full record

ArticleCureus2026

Brainstem Hemorrhage Following Eclampsia and HELLP Syndrome: A Case Report of an Unusual Neuro-Obstetric Complication.

Marouane Jidal, Youssra Kramchi, Achraf Jeddab, Sarah Slimani, Ilyass Hmadate, Ayoub Boubekri, Rida Touab, Si Mohammed Andaloussi, Khalil Mounir, Abdelhamid Jaafari

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marouane JidalDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Youssra KramchiDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Achraf JeddabDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Sarah SlimaniDepartment of Neurology, Mohammed V Military Teaching Hospital, Rabat, MAR.
Ilyass HmadateDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Ayoub BoubekriDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Rida TouabDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Si Mohammed AndaloussiDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Khalil MounirDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.
Abdelhamid JaafariDepartment of Surgical Intensive Care Unit, Mohammed V Military Teaching Hospital, Rabat, MAR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertensive disorders of pregnancy can cause severe neurological complications, including intracerebral hemorrhage. We report a peripartum case of eclampsia complicated by complete hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome and a large posterior fossa brainstem hemorrhage with prolonged disorder of consciousness requiring prolonged intensive care and rehabilitation. Initial neuroimaging confirmed the hemorrhage with posterior fossa involvement and mass effect, and the clinical course was complicated by multiorgan dysfunction, including severe acute kidney injury requiring renal replacement therapy. This case emphasizes that persistent or unexplained coma after eclampsia should not be attributed solely to a post-ictal state or sedative effects and should prompt urgent neuroimaging to exclude catastrophic intracranial hemorrhage.

Indexed as

brainstem hemorrhagehellp syndrome complicationsposterior fossa hemorrhagepreeclampsia-eclampsiapregnancy-related complications

Identifiers

PMID41939649
PMCPMC13050287

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.