Hemorrhagic stroke following elective cesarean delivery

J. S. Ranasinghe; S. Kafi; Julie Lynn Oppenheimer; D. J. Birnbach

doi:10.1016/j.ijoa.2007.10.005

Hemorrhagic stroke following elective cesarean delivery

J. S. Ranasinghe, S. Kafi, Julie Lynn Oppenheimer, D. J. Birnbach

Anesthesiology

Research output: Contribution to journal › Article

6 Scopus citations

Abstract

We present a case of hemorrhagic stroke after cesarean delivery under combined spinal-epidural anesthesia in an 35-year-old Hispanic patient treated with anticoagulants for protein C deficiency. She required vasopressor therapy for intraoperative hypotension and developed severe headache immediately after administration. To our knowledge, this is the first case of stroke occurring in a pregnant woman following vasopressor therapy for spinal anesthesia-induced hypotension. Although the exact cause of her hemorrhagic stroke is uncertain, the hypertensive response that may have led to the hemorrhagic stroke occurred following administration of commonly used doses of vasopressor agents. We discuss the possible causes of stroke.

Original language	English (US)
Pages (from-to)	271-274
Number of pages	4
Journal	International Journal of Obstetric Anesthesia
Volume	17
Issue number	3
DOIs	https://doi.org/10.1016/j.ijoa.2007.10.005
State	Published - Jul 1 2008

Keywords

Ephedrine
Hemorrhagic stroke
Phenylephrine
Pregnancy
Vasopressors

ASJC Scopus subject areas

Anesthesiology and Pain Medicine
Psychology(all)

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Ranasinghe, J. S., Kafi, S., Oppenheimer, J. L., & Birnbach, D. J. (2008). Hemorrhagic stroke following elective cesarean delivery. International Journal of Obstetric Anesthesia, 17(3), 271-274. https://doi.org/10.1016/j.ijoa.2007.10.005

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