Management of a Pregnant Patient With Central Poststroke Pain Syndrome Ultimately Having a Cesarean Delivery: A Case Report. Issue 11 (3rd June 2019)

• Record Type: Journal Article
• Authors: Kalopita, Konstantina; Skandalou, Vasiliki; Valsamidis, Dimitrios
• Is Part Of: A & A practice. Volume 12:Issue 11(2019)
• Publication Date: 2019-06-03
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000945
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : Cerebrovascular 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.