Nazanin Hojjati*, Sina Mohajernoei
In this case report we present a 32-year-old gravid 5, para 3, live 3, Ab1 with 4 cesarean repeat who presented at 31 weeks and 3 days of gestation with severe hypertension and vaginal bleeding. She was diagnosed with severe preeclampsia and underwent an emergency cesarean section. Due to bleeding from the drain and stable tachycardia, an exploratory laparotomy was performed, and due to uncontrollable bleeding during surgery underwent on TAH. Unfortunately, the day after the procedure, she developed sudden onset of right limb weakness, Broca's aphasia, and hemiparesis on the right side and was subsequently diagnosed with a CVA.
She was started on antiplatelet therapy and anticoagulation, and her blood pressure was closely monitored and controlled. She made a gradual recovery and was discharged home with residual weakness and speech difficulties. This case report highlights the need for early recognition and management of preeclampsia to prevent adverse maternal and fetal outcomes, as well as the potential complications that can arise from cesarean sections. It also emphasizes the importance of multidisciplinary management of pregnant women with preeclampsia, involving obstetricians, neurologists, and other specialists as needed.
Published Date: 2025-05-14; Received Date: 2024-06-09
