Thrombolytic therapy in acute ischemic stroke during pregnancy: A case report

Yıl 2025, Cilt: 3 Sayı: 1, 8 - 12, 31.01.2025

Cemile Haki , Beyza Nur Ay , Ayfer Evren , Suat Kamisli

https://doi.org/10.61678/bursamed.1537262

Öz

Intravenous tissue plasminogen activator (IV tPA) is a proven treatment method for acute ischemic stroke. In this report, we share a case where IV tPA treatment was administered during the 6th week of pregnancy due to acute ischemic stroke, and there were no problems in the mother and baby during long-term follow-up. Here, we present a 32-year-old female patient, in the 6th week of her pregnancy, presented to our emergency department at the 47th minute of the onset of symptoms. National Institute of Health Stroke Scale (NIHSS) score was 10. On diffusion-weighted magnetic resonance imaging (MRI), an infarction was observed in the right middle cerebral artery, and on cranial MR angiography, a thrombus was detected at the level of the right middle cerebral artery M2-3. Thrombolytic therapy was initiated 90 minutes after the onset of the first symptoms. No maternal or fetal problems were detected. The patient had a Modified Rankin Score of 0 at 3 months. We administered IV tPA treatment to the pregnant patient who presented with severe stroke symptoms considering the benefits outweighed the risks.

Anahtar Kelimeler

First trimester, pregnancy, thrombolytic therapy

Kaynakça

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