When Mother and Fetus Face Neurological Emergencies: A Case of Pregnancy-Associated Stroke
Abstract
Background: Stroke is a neurological emergency characterized by acute focal injury to the central nervous system caused by vascular events. Although rare, pregnancy-associated stroke represents a major cause of maternal morbidity and mortality, with an incidence of approximately 30–34 per 100,000 pregnancies. Hypertensive disorders and the hypercoagulable state of pregnancy are leading risk factors. Case Report: We present the case of a 26-year-old gravida 3 para 1 woman at 26 weeks and 5 days of gestation with a history of chronic hypertension, who was admitted with sudden-onset left-sided weakness and facial asymmetry. Neuroimaging revealed acute ischemic lesions in the right lentiform nucleus, parietal and parieto-occipital lobes, and a thrombus in the inferior cerebral vein. The patient was managed in the intensive care unit with therapeutic anticoagulation (enoxaparin) and close maternal-fetal monitoring. Fetal viability and well-being were preserved, and corticosteroids were administered for lung maturation. Multidisciplinary follow-up ensured stabilization, and the patient was discharged in good condition with recommendations for continued neurological and obstetric care. Conclusion: Pregnancy-associated stroke is a rare but potentially life-threatening condition that requires prompt recognition, rapid neuroimaging, and a multidisciplinary approach to optimize maternal and fetal outcomes. This case highlights the importance of timely intervention and coordinated care in managing neurological emergencies during pregnancy.
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Ethical Statement
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References
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Details
Primary Language
English
Subjects
Clinical Sciences (Other)
Journal Section
Case Report
Publication Date
October 26, 2026
Submission Date
September 3, 2025
Acceptance Date
August 21, 2026
Published in Issue
Year 2026 Volume: 40 Number: 4