An unusual case of postpartum stroke

Area of Science:

• Neurology
• Neurosurgery
• Obstetrics

Background:

• Intracranial hemorrhage is a rare but serious complication during the peripartum period.
• Meningiomas, though typically benign, can present with significant complications if undiagnosed.
• Peripartum stroke requires prompt recognition and management.

Purpose of the Study:

• To report a case of acute intracranial hemorrhage in a postpartum patient.
• To highlight the role of an undiagnosed meningioma as the cause of peripartum stroke.
• To discuss intrameningiomal hemorrhage as a treatable cause of peripartum neurological deficits.

Main Methods:

• Case report of a 28-year-old woman 24 hours postpartum.
• Clinical presentation included aphasia, facial paresis, and hemiplegia.
• Diagnosis confirmed hemorrhage into a left parasagittal meningioma via neuroimaging, followed by surgical intervention.

Main Results:

• The patient experienced acute neurological deficits attributed to hemorrhage within a meningioma.
• Surgical intervention was performed promptly after diagnosis.
• The patient achieved an excellent clinical outcome following treatment.

Conclusions:

• Intrameningiomal hemorrhage can manifest as a peripartum stroke.
• Early diagnosis and surgical management of meningioma-related hemorrhage are crucial for favorable outcomes.
• This case underscores the importance of considering treatable causes for peripartum neurological emergencies.