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J Multidiscip Care. 2022;11(4): 206-208.
doi: 10.34172/jmdc.2022.1128
  Abstract View: 280
  PDF Download: 403

Case Report

A massive stroke in a pregnant woman following COVID-19 infection: A case report

Hatav Ghasemi-Tehrani 1 ORCID logo, Maryam Allahdadian 2* ORCID logo, Maryam Vizheh 3 ORCID logo, Maryam Dehghan 4 ORCID logo, Maryam Hashemi 4 ORCID logo

1 Fertility department, School of Medicine, Isfahan University of Medical Science, Isfahan, Iran
2 Department of Midwifery, Nursing & Midwifery Faculty, Falavarjan Branch, Islamic Azad University, Isfahan, Iran
3 Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia
4 Department of Obstetrics & Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
5 Department of Obstetrics & Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
*Corresponding Author: Maryam Allahdadian, Email: maryamallahdadian@yahoo.com

Abstract

Background and aims: COVID-19 infection increases the risk of pathological thrombotic events in venous and arterial circulation. COVID-19 patients are reported, a wide range of neurovascular symptoms is highlighted, such as cerebral vascular accidence. This study aimed to report a massive stroke in a pregnant woman with COVID-19 infection.

Case Report: We report a 41-year-old pregnant woman, gravid 5 para 2 living 2 abortion 2 at gestational age 22 weeks and 4 days with Covid-19 infection, which developed into a massive stroke in the Basilar artery despite receiving a therapeutic dosage of Enoxaparin Sodium.

Conclusion: The possibility of thrombosis should be considered in COVID-19 patients with symptoms indicating an increase in intracranial pressure (ICP) such as decreased consciousness, strabismus, and agitation. Considering the higher risk of thrombotic events in COVID-19 patients, cerebral venous sinus thrombosis (CVST) could be a possible consequence. Thus, the precise observation of neurologic manifestations in covid-19 patients, especially in pregnant women, is recommended.


Cite this article as: Ghasemi-Tehrani H, Allahdadian M, Vizheh M, Dehghan M, Hashemi M. A massive stroke in a pregnant woman following COVID-19 infection: a case report. Journal of Multidisciplinary Care. 2022;11(4):196–198. doi: 10.34172/jmdc.2022.1128
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Submitted: 03 Nov 2022
Accepted: 20 Dec 2022
ePublished: 30 Dec 2022
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