Transient Ischaemic Attack in Pregnancy: Case Report

ABSTRACT

Aim and background

The incidence of stroke in pregnancy is 10–34 per 100000 deliveries. In 15% of cases, stroke is preceded by a transient ischaemic attack (TIA). Prevention of stroke, appropriate fetal monitoring, and timely delivery can lead to successful maternal and neonatal outcomes.

Case description

We present a case,. where a mother was treated for TIA and the fetal Doppler was repeated every 72 hours to look for reflection of cerebral vascular events in the placental vasculature. Doppler enabled timely delivery resulting in successful maternal and neonatal outcomes.

Conclusion

A 26-year-old, low-risk primigravida with 31 weeks pregnancy was referred with a history of sudden onset heaviness in her head, tingling and numbness, inability to lift left upper limb, and difficulty in speaking for 30 minutes. Magnetic resonance imaging (MRI) was suggestive of linear acute infarcts in sub-cortical white matter in the right superior frontal lobe and parietal lobe. Dopplers were repeated every 72 hours. Stoke was prevented by a therapeutic dose of Low molecular weight-heparin (LMWH) daily. Decision to deliver was guided by derangement in fetal Doppler when Cerebro placental ratio deranged to less than one, leading to a successful maternal and neonatal outcomes.

How to cite this article

Uplenchwar KN, Kulkarni A, Banzal R, et al. Transient Ischaemic Attack in Pregnancy: Case Report. J Obstet Gynaecol Pract POGS 2023;1(1):21–22.