| Ischaemic stroke with ovarian hyperstimulation syndrome. | |
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MedLine Citation:
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PMID: 18988418 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ovarian hyperstimulation syndrome (OHSS) is a rare and serious complication of hormonal treatment for induction of ovulation. Haemoconcentration owing to the large fluid shift from the intravascular to the peritoneal cavity resulting in increased blood viscosity that can lead to arterial and venous occlusion. Thromboembolic stroke, cerebral venous thrombosis and systemic arteriovenous thrombosis have been reported in OHSS. We report a case of a 30-year-old female who had undergone a successful in vitro fertilization and presented in the emergency department with sudden onset of left hemiplegia. Her CT scan showed a full thickness right- MCA territory infarct. The patient was treated with oral aspirin, intra venous plasma expanders and Mannitol. Her repeat MRI showed haemorrhagic conversion of infarct. She made a good recovery and was independent in activities of daily living when seen for follow up after six months. |
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Authors:
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Amna Qazi; Aamir Nazir Ahmed; Mah Parveen Qazi; Faika Usman; Arsalan Ahmad |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: JPMA. The Journal of the Pakistan Medical Association Volume: 58 ISSN: 0030-9982 ISO Abbreviation: J Pak Med Assoc Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-11-07 Completed Date: 2008-12-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7501162 Medline TA: J Pak Med Assoc Country: Pakistan |
Other Details:
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Languages: eng Pagination: 411-3 Citation Subset: IM |
Affiliation:
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Department of Medicine, Shifa International Hospital and College of Medicine, H-8/4, Islamabad, Pakistan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Fertilization in Vitro / adverse effects* Hemiplegia / etiology Humans Infarction, Middle Cerebral Artery / complications, diagnosis, etiology* Magnetic Resonance Imaging Ovarian Hyperstimulation Syndrome / complications*, etiology, therapy Pakistan Pregnancy |
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