• A&A practice · Jun 2019

    Case Reports

    Management of a Pregnant Patient With Central Poststroke Pain Syndrome Ultimately Having a Cesarean Delivery: A Case Report.

    • Konstantina Kalopita, Vasiliki Skandalou, and Dimitrios Valsamidis.
    • From the Department of Anesthesiology and Pain Medicine, "Alexandra" General Hospital of Athens, Athens, Greece.
    • A A Pract. 2019 Jun 3; 12 (11): 403-405.

    AbstractCerebrovascular events, along with the early presentation of central pain, during pregnancy, are uncommon. We report a case of a parturient with intense central poststroke pain after an ischemic cerebrovascular incident at 15 weeks of gestation, attributed to cerebral venous thrombosis. After a multidisciplinary team consultation, she was scheduled for cesarean delivery at 35 weeks of gestation, under combined spinal-epidural anesthesia. Due to severe left-sided neurological deficits and ipsilateral intense neuropathic pain, the neuraxial technique was successfully performed using the paramedian approach.

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