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- Title
Thrombotic stroke in association with ovarian hyperstimulation and early pregnancy rescued by thrombectomy.
- Authors
Chua, Natalie W.L.; Wang, Junjie; Loh, Seong-Feei; Chan, Jerry K.Y.; Brent, Robert L.
- Abstract
Severe ovarian hyperstimulation syndrome (OHSS) affects 2-4% of in vitro fertilization (IVF) patients, which may rarely result in an ischemic stroke secondary to a hypercoagulable state. We describe a case of a 38-year-old IVF patient who developed early-onset OHSS with a viable pregnancy who presented at 18 days post embryo transfer with an ischemic stroke resulting from a thrombus in the right middle cerebral artery. As the use of recombinant tissue plasminogen activator was relatively contraindicated owing to a recent intra-abdominal drain placement, a radiologically guided thrombectomy was performed. This resulted in neurological improvement in the mother and the birth of a normal term infant, without significant ionizing effects to the developing embryo.
- Publication
Case Reports in Perinatal Medicine, 2012, Vol 1, Issue 1/2, p43
- ISSN
2192-8932
- Publication type
Article
- DOI
10.1515/crpm-2012-0031