Hemorrhagic stroke following elective cesarean delivery

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

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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 languageEnglish (US)
Pages (from-to)271-274
Number of pages4
JournalInternational Journal of Obstetric Anesthesia
Issue number3
StatePublished - Jul 2008


  • Ephedrine
  • Hemorrhagic stroke
  • Phenylephrine
  • Pregnancy
  • Vasopressors

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Psychology(all)


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