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Korean Journal of Obstetrics & Gynecology 2003;46(8):1620-1625.
Published online August 1, 2003.
Two Cases of Stroke Occurred in Pregnant Women During the Period of Antepartum and Postpartum: A Case of Cerebral Infarction and the other Case of Cerebral Hemorrhage in Pregnant Women Both without any Manifestations of Preeclampsia or Eclampsia.
Jun Young Ha, Yeon Kyoung Kim, Hyeok Heo, Dea Seob Choi, Do Gyun Kim, Hoe Saeng Yang, Jae Chul Sim
1Department of Obstetrics and Gynecology, College of Medicine, Dongguk University, Kyoung-ju, Korea.
2Department of Radiology, College of Medicine, Dongguk University, Kyoung-ju, Korea.
Abstract
While maternal mortality rates due to obstetric causes have declined in recent years, maternal mortality rates due to non-obstetric causes have relatively increased. Among these, pregnancy related stroke is significant because it has the worst impact on both mother and the fetus. Stroke is the state of necrosis in brain tissues caused by perfusion disorder in the cerebral blood flow and pregnant or puerperal women are reported to have about 13-fold more risk of stroke compared to non-pregnant women. Pregnancy-related stroke must be differentiated from stroke in elderly patients, because it is different in pathophysiological etiologies and recurrence rates and also diagnostic and therapeutic methods may affect the fetal health status. In this article, we experienced one case of hemorrhagic stroke occurred in a normal pregnant woman with gestational age of 40 weeks and the other case with ischemic stroke in 33 gestational weeks, those both without any manifestation of preeclampsia or eclampsia.
Key Words: Stroke, Pregnancy, Antepartum, Postpartum
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