title: Postpartum stroke, a diagnostic challenge.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, TweeSteden Hospital, PO Box 90107, 5000 LA Tilburg, The Netherlands.
authors.forename: Philip L J
authors.initials: PL
authors.lastname: DeKoninck
authors.forename: Johanna M A
authors.initials: JM
authors.lastname: Pijnenborg
authors.forename: Stefan W
authors.initials: SW
authors.lastname: van Zutphen
authors.forename: Edo P J
authors.initials: EP
authors.lastname: Arnoldus
mesh_terms: D000328:Adult; D002533:Cerebral Angiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011644:Puerperal Disorders / Q000175:diagnosis* / Q000628:therapy; D020521:Stroke / Q000175:diagnosis* / Q000628:therapy