Evaluation of peripartum strokes by computed tomography

Area of Science:

• Neurology
• Radiology
• Obstetrics

Background:

• Peripartum stroke is a rare but serious complication affecting women during pregnancy or postpartum.
• Early diagnosis and understanding of stroke etiology are crucial for effective management.

Observation:

• Eleven women experiencing peripartum strokes underwent cranial computed tomography (CT).
• Symptom onset ranged from 1 to 22 days postpartum.
• CT scans were performed within 20 days of symptom onset.

Findings:

• All CT scans demonstrated abnormalities.
• Ten cases indicated arterial infarction, characterized by low-attenuation lesions.
• One case revealed sino-venous occlusion, identified by a high-attenuating hematoma.

Implications:

• Cranial CT is valuable in diagnosing peripartum stroke, predominantly identifying arterial infarction.
• Findings highlight the importance of neuroimaging in postpartum neurological emergencies.
• Further research may elucidate specific risk factors and optimal treatment strategies for peripartum stroke.