Ibrahim Azza G, Mohammed Alaa
Department of Obstetrics and Gynaecology, Al Wasl Hospital, Dubai, United Arab Emirates.
BMJ Case Rep. 2010 Sep 13;2010:bcr1120092431. doi: 10.1136/bcr.11.2009.2431.
A 34-year-old Chinese woman was admitted to the labour suite for induction of labour. She had no history of hypertension, vascular disease or coagulapathy. She was induced for less fetal movement at 38 weeks of gestation. Labour progressed smoothly, but immediately after delivery the patient had symptoms of facial neurological deficit, slurred speech and heaviness in the left side of the body. After completion of the third stage of labour, her condition soon deteriorated with left-sided facial palsy and left-sided dense hemiplegia. The patient was then transferred to the intensive care unit where an urgent CT scan was arranged for her. She was diagnosed as a case of right-sided stroke with dense left-sided hemiplegia and left facial palsy. She was placed under the care of the neurosurgical team for 2 weeks and was discharged on regular physiotherapy treatment. She had completely recovered 6 months later.
一名34岁的中国女性因引产被收入产房。她既往无高血压、血管疾病或凝血功能障碍病史。因妊娠38周时胎动减少而引产。产程进展顺利，但产后患者立即出现面部神经功能缺损症状、言语不清及身体左侧沉重感。第三产程结束后，她的病情很快恶化，出现左侧面瘫和左侧完全性偏瘫。随后患者被转至重症监护病房，并紧急安排了CT扫描。她被诊断为右侧中风，伴有左侧完全性偏瘫和左侧面瘫。她在神经外科团队的护理下接受了2周治疗，之后出院并接受定期物理治疗。6个月后她已完全康复。
