title: Successful intra-arterial thrombolysis for acute ischemic stroke in the immediate postpartum period: case report.
abstract: Stroke in pregnancy and the puerperium is a rare but potentially devastating event. We present the case of a previously healthy woman who underwent a cesarean delivery and experienced a middle cerebral artery thrombosis in the immediate postpartum period that was subsequently lysed with intra-arterial urokinase. The patient made a complete neurologic recovery. To the best of our knowledge, this is the first reported case of successful intra-arterial thrombolysis for ischemic stroke in the postpartum period.
authors.affiliation: Department of Neuroradiology, Hospital Universitario Ramón y Cajal, Ctra Colmenar km 9,100, 28034 Madrid, Spain. jmendezce@hotmail.com
authors.forename: Jose C
authors.initials: JC
authors.lastname: Méndez
authors.forename: J
authors.initials: J
authors.lastname: Masjuán
authors.forename: N
authors.initials: N
authors.lastname: García
authors.forename: M
authors.initials: M
authors.lastname: de Leciñana
mesh_terms: D000208:Acute Disease; D000328:Adult; D002545:Brain Ischemia / Q000150:complications*; D002585:Cesarean Section; D005260:Female; D005343:Fibrinolytic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D005500:Follow-Up Studies; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D020768:Middle Cerebral Artery / Q000000981:diagnostic imaging; D018908:Muscle Weakness / Q000209:etiology; D049590:Postpartum Period; D020521:Stroke / Q000188:drug therapy* / Q000209:etiology; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
chemical_list: D005343:Fibrinolytic Agents; D006493:Heparin; D014568:Urokinase-Type Plasminogen Activator