Document Detail

Ischaemic stroke with ovarian hyperstimulation syndrome.
MedLine Citation:
PMID:  18988418     Owner:  NLM     Status:  MEDLINE    
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.
Amna Qazi; Aamir Nazir Ahmed; Mah Parveen Qazi; Faika Usman; Arsalan Ahmad
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2008-11-07     Completed Date:  2008-12-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7501162     Medline TA:  J Pak Med Assoc     Country:  Pakistan    
Other Details:
Languages:  eng     Pagination:  411-3     Citation Subset:  IM    
Department of Medicine, Shifa International Hospital and College of Medicine, H-8/4, Islamabad, Pakistan.
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MeSH Terms
Fertilization in Vitro / adverse effects*
Hemiplegia / etiology
Infarction, Middle Cerebral Artery / complications,  diagnosis,  etiology*
Magnetic Resonance Imaging
Ovarian Hyperstimulation Syndrome / complications*,  etiology,  therapy

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