Stroke in Pregnancy: A Case Report
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Published:2023-04-01
Issue:260
Volume:61
Page:383-386
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ISSN:1815-672X
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Container-title:Journal of Nepal Medical Association
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language:
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Short-container-title:J Nepal Med Assoc
Author:
Shah Ravi Kumar,Jaiswal Arushi,Mushtaq Rehana,Ansari Sana,Deep Jagat Prasad
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 livefemale 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. Strokein pregnancy is a rare diagnosis and it could have been prevented by regular antenatal visits and early referral antenatally along with a multidisciplinary approach.
Publisher
Journal of Nepal Medical Association (JNMA)