Ischaemic stroke with ovarian hyperstimulation syndrome

Amna Qazi, Aamir Nazir Ahmed, Mah Parveen Qazi, Faika Usman, Arsalan Ahmad

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)411-413
Number of pages3
JournalJournal of the Pakistan Medical Association
Volume58
Issue number7
Publication statusPublished - Jul 2008
Externally publishedYes

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