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.
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