Postpartum stroke, a diagnostic challenge

Postpartum stroke is rare, and because complaints are similar to preeclampsia, diagnostic confusion may delay the diagnostic workup that should include prompt computerized tomography of the brain. We describe a patient with postpartum stroke who died because of extensive ischemic damage throughout t...

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Bibliographic Details
Published in:The American journal of emergency medicine 2008-09, Vol.26 (7), p.843.e3-843.e4
Main Authors: DeKoninck, Philip L.J., MD, Pijnenborg, Johanna M.A., MD, PhD, van Zutphen, Stefan W., MD, Arnoldus, Edo P.J., MD, PhD
Format: Article
Language:English
Subjects:
Adult
Blood clots
Cardiac arrest
Cerebral Angiography
Emergency
Emergency medical care
Fatal Outcome
Female
Humans
Ischemia
Medical imaging
Postpartum period
Preeclampsia
Pregnancy
Puerperal Disorders - diagnosis
Puerperal Disorders - therapy
Risk factors
Stroke
Stroke - diagnosis
Stroke - therapy
Thromboembolism
Thrombosis
Tomography
Veins & arteries
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Description
Summary:Postpartum stroke is rare, and because complaints are similar to preeclampsia, diagnostic confusion may delay the diagnostic workup that should include prompt computerized tomography of the brain. We describe a patient with postpartum stroke who died because of extensive ischemic damage throughout the brain with 3 simultaneous arterial occlusions. We stress the importance of raising this diagnosis in your workup because adequate measurements like angiography and intra-arterial thrombolysis could significantly improve the patient's outcome.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2008.01.045