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Cardiovasc Intervent Radiol. 2008 Jan-Feb;31(1):193-5.

Successful intra-arterial thrombolysis for acute ischemic stroke in the immediate postpartum period: case report.

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  • 1Department of Neuroradiology, Hospital Universitario Ramón y Cajal, Ctra Colmenar km 9,100, 28034 Madrid, Spain.


Stroke in pregnancy and the puerperium is a rare but potentially devastating event. We present the case of a previously healthy woman who underwent a cesarean delivery and experienced a middle cerebral artery thrombosis in the immediate postpartum period that was subsequently lysed with intra-arterial urokinase. The patient made a complete neurologic recovery. To the best of our knowledge, this is the first reported case of successful intra-arterial thrombolysis for ischemic stroke in the postpartum period.

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