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 |
|---|---|
| Pages (from-to) | 271-274 |
| Number of pages | 4 |
| Journal | International Journal of Obstetric Anesthesia |
| Volume | 17 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jul 1 2008 |
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Keywords
- Ephedrine
- Hemorrhagic stroke
- Phenylephrine
- Pregnancy
- Vasopressors
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
- Psychology(all)
Cite this
Hemorrhagic stroke following elective cesarean delivery. / Ranasinghe, Jayanthie; Kafi, S.; Oppenheimer, J.; Birnbach, David.
In: International Journal of Obstetric Anesthesia, Vol. 17, No. 3, 01.07.2008, p. 271-274.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Hemorrhagic stroke following elective cesarean delivery
AU - Ranasinghe, Jayanthie
AU - Kafi, S.
AU - Oppenheimer, J.
AU - Birnbach, David
PY - 2008/7/1
Y1 - 2008/7/1
N2 - 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.
AB - 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.
KW - Ephedrine
KW - Hemorrhagic stroke
KW - Phenylephrine
KW - Pregnancy
KW - Vasopressors
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U2 - 10.1016/j.ijoa.2007.10.005
DO - 10.1016/j.ijoa.2007.10.005
M3 - Article
VL - 17
SP - 271
EP - 274
JO - International Journal of Obstetric Anesthesia
JF - International Journal of Obstetric Anesthesia
SN - 0959-289X
IS - 3
ER -