Successful intra-arterial thrombolysis for acute ischemic stroke in the immediate postpartum period: case report

Cardiovasc Intervent Radiol. 2008 Jan-Feb;31(1):193-5. doi: 10.1007/s00270-006-0033-8.

Abstract

Stroke in pregnancy and the puerperium is a rare but potentially devastating event. We present the case of a previously healthy woman who underwent a cesarean delivery and experienced a middle cerebral artery thrombosis in the immediate postpartum period that was subsequently lysed with intra-arterial urokinase. The patient made a complete neurologic recovery. To the best of our knowledge, this is the first reported case of successful intra-arterial thrombolysis for ischemic stroke in the postpartum period.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Brain Ischemia / complications*
  • Cesarean Section
  • Female
  • Fibrinolytic Agents / administration & dosage
  • Fibrinolytic Agents / therapeutic use
  • Follow-Up Studies
  • Heparin / administration & dosage
  • Humans
  • Middle Cerebral Artery / diagnostic imaging
  • Muscle Weakness / etiology
  • Postpartum Period*
  • Stroke / drug therapy*
  • Stroke / etiology
  • Thrombolytic Therapy / methods*
  • Thrombosis / drug therapy
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Urokinase-Type Plasminogen Activator / therapeutic use

Substances

  • Fibrinolytic Agents
  • Heparin
  • Urokinase-Type Plasminogen Activator