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Case Reports
. 2023 Apr 1;61(260):383-386.
doi: 10.31729/jnma.8112.

Stroke in Pregnancy: A Case Report

Ravi Kumar Shah  1 , Arushi Jaiswal  2 , Rehana Mushtaq  1 , Sana Ansari  1 , Jagat Prasad Deep  1
Affiliations
Case Reports

Stroke in Pregnancy: A Case Report

Ravi Kumar Shah et al. JNMA J Nepal Med Assoc. .

Abstract

Reported here is a rare near-miss case of stroke in pregnancy presented to the Department of Obstetrics and Gynaecology. A 38 years gravida 8 was referred from a private hospital on 18 November 2022 with hemorrhagic stroke, a known case of chronic hypertension at 37 weeks of gestation with previous cesarean section and acute kidney injury. At a private hospital computed tomography head was done it showed intracerebral haemorrhage. On cesarean, intraoperatively it was a live female with thick meconium. The patient was kept in intensive care with a mechanical ventilator, antihypertensives, antibiotics, and analgesics. Serum creatinine was increasing daily. Suture was cut on the 7th postoperative and two times dialysis was done on the 8th and 9th postoperative days. Stroke in pregnancy is a rare diagnosis and it could have been prevented by regular antenatal visits and early referral antenatally along with a multidisciplinary approach.

Keywords: case reports; hypertension; intracerebral haemorrhage; pregnancy; stroke.

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Conflict of interest statement

None.

Figures

Figure 1
Figure 1. Noncontrast computed tomography head - Intracranial Hemorrhage.
Figure 2
Figure 2. Noncontrast computed tomography head showing intracerebral haemorrhage with mass effect.
See this image and copyright information in PMC

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