Frequencies of different vascular etiologies and clinical presentations in post-partum women with suspected stroke.

Authors

  • Farid ud Din Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur.
  • Muhammad Akram Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur.
  • Syed Zain Ul Abidin Bahawal Victoria Hospital, Bahawalpur.
  • Ghulam Jilani Bahawal Victoria Hospital, Bahawalpur.
  • Muhammad Waqas Saeed Bahawal Victoria Hospital, Bahawalpur.

DOI:

https://doi.org/10.29309/TPMJ/2023.30.08.7602

Keywords:

Arterial Thrombosis, Cerebral Venous Sinus Thrombosis, Headache, Postpartum, Stroke

Abstract

Objective: To determine the frequencies of different vascular etiologies and clinical presentations in post-partum women with suspected stroke. Study Design: Cross-sectional study. Setting: Department of Medicine, Bahawal Victoria Hospital, Bahawalpur. Period: November 2022 to May 2023. Material & Methods: A total of 117 female patients aged between 18-45 years in post-partum period of 30 days after delivery having clinical diagnosis of suspected stroke were included. All patients were evaluated and clinical presentation and frequency of different vascular etiologies were noted. Results: In 117 women, the mean age was 32.01±5.67 years while 59 (50.4%) women were aged ≤35 years of age. Headache was found in 61 (52.1%), seizures 56 (47.9%), altered consciousness 26 (22.2%) and weakness in 16 (13.7%) patients. Frequencies of different vascular etiologies in post-partum women with suspected stroke were cerebral venous sinus thrombosis in 21 (17.9%), arterial thrombosis 7 (6.0%) and hemorrhagic stroke in 89 (76.1%) patients. Conclusion: Hemorrhagic stroke was the most common vascular etiology whereas headache was the commonest clinical presentation in post-partum women with suspected stroke.

Author Biographies

Farid ud Din, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur.

MBBS, FCPS (Medicine), Assistant Professor Medicine, 

Muhammad Akram, Bahawal Victoria Hospital/Quaid-e-Azam Medical College, Bahawalpur.

MBBS, FCPS (Medicine), Associate Professor Medicine, 

Syed Zain Ul Abidin, Bahawal Victoria Hospital, Bahawalpur.

MBBS, Postgraduate Resident Medicine, 

Ghulam Jilani, Bahawal Victoria Hospital, Bahawalpur.

MBBS, Postgraduate Resident Medicine, 

Muhammad Waqas Saeed, Bahawal Victoria Hospital, Bahawalpur.

MBBS, Postgraduate Resident Medicine, 

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Published

2023-08-01