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Postpartum stroke, a diagnostic challenge

Philip L J DeKoninck1, Johanna M A Pijnenborg, Stefan W van Zutphen

  • 1Department of Obstetrics and Gynaecology, TweeSteden Hospital, PO Box 90107, 5000 LA Tilburg, The Netherlands.

The American Journal of Emergency Medicine
|September 9, 2008
PubMed

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.

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