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Posterior reversible encephalopathy syndrome with ischemic infarction complicated with intrauterine fetal death: A case report
We report a case of PRES with stroke in an adult with intrauterine fetal death (IUFD). Patient concerns: A 35-year-old Asian woman with twin pregnancy underwent cesarean section at 32 weeks of gestation because of IUFD. She presented with focal seizures and visual field defect 2 days after undergoing cesarean section. Her blood pressure and kidney, liver, and coagulation functions were normal without proteinuria. Diagnosis: PRES was diagnosed based on a series of brain magnetic resonance imaging findings. Ischemic infarction in the right frontal lobe eventually developed to encephalomalacia. Interventions: The pat...
Source: Medicine - January 1, 2020 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Pre-eclampsia and acute pulmonary embolism —the importance of making a differential diagnosis: a case report
We describe the case of a 41-year-old pregnant patient who presented at 38  weeks of gestation for an urgent cesarean section, with new onset of pre-eclampsia as the initial diagnosis. The intraoperative course was complicated by seizures and hemodynamic collapse. Initially, the presentation of seizure pointed to pre-eclampsia/eclampsia; however, with careful consideratio n of each event as it occurred, the correct diagnosis was later determined to be pulmonary embolism and stroke. This case illustrates the importance of considering multiple possible etiologies, even when a particular diagnosis seems obvious.
Source: Journal of Anesthesia - August 5, 2017 Category: Anesthesiology Source Type: research

Cryptogenic postpartum stroke.
Abstract An estimated 25-40% of ischemic strokes are classified as cryptogenic, which means the cause of the cerebral infarction remains unidentified. One of the potential pathomechanisms - especially among young patients with no cardiovascular risk factors - is paradoxical embolism through a patent foramen ovale. Pregnancy, cesarean delivery and the postpartum period are associated with an increased risk of cerebrovascular events. Factors that may contribute to ischemic strokes during gestation and puerperium include classic cardiovascular risk factors, changes in hemostaseology/hemodynamics, and pregnancy-specif...
Source: Neurologia i Neurochirurgia Polska - August 31, 2016 Category: Neurology Authors: Bereczki D, Szegedi N, Szakács Z, Gubucz I, May Z Tags: Neurol Neurochir Pol Source Type: research

Cryptogenic postpartum stroke
Publication date: Available online 18 May 2016 Source:Neurologia i Neurochirurgia Polska Author(s): Dániel Bereczki, Norbert Szegedi, Zoltán Szakács, István Gubucz, Zsolt May An estimated 25–40% of ischemic strokes are classified as cryptogenic, which means the cause of the cerebral infarction remains unidentified. One of the potential pathomechanisms – especially among young patients with no cardiovascular risk factors – is paradoxical embolism through a patent foramen ovale. Pregnancy, cesarean delivery and the postpartum period are associated with an increased risk of cerebrovascular events. Factors tha...
Source: Polish Journal of Neurology and Neurosurgery - May 20, 2016 Category: Neurosurgery Source Type: research