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Case Reports
A first trimester pregnancy with cerebrovascular accident treated with thrombolytic therapy.
- Rachel E Bridwell, Ashley J Werbin, Sara Birdsong, Sarah Goss, and Brit Long.
- Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States. Electronic address: r.e.bridwell@gmail.com.
- Am J Emerg Med. 2021 Oct 1; 48: 376.e3-376.e5.
AbstractPregnant patients are at increased risk of cerebrovascular accident due to the prothrombotic state of pregnancy. This risk is highest in those with pre-eclampsia and eclampsia as well as those of Asian descent. Despite this increased risk, pregnancy was an exclusion criterion for major stroke intervention trials. As a result, there are significant challenges concerning the management of this unique patient population. We describe a case of an early first trimester cerebrovascular accident treated with systemic thrombolysis.Published by Elsevier Inc.
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