Acute peripartum pontine ischemic stroke during epidural analgesia
Ivan Šklebar, Tanja Goranović, Jasna Čerkez Habek, Dubravko Habek · Zeitschrift für Geburtshilfe und Neonatologie · 2025 · Heft 06 · S. 446-449
Bibliografische Angaben
Zusammenfassung
AbstractWe report a rare case of peripartum pontine stroke in a 34-year-old primipara initially attributed to an episode of severe transient hypotension caused by the subdural spread of local anesthetic during epidural analgesia for delivery. The rapid intrapartum intervention by the obstetric team because of spinal shock clinical pictures and fetal bradycardia using high vacuum extraction prevented the risk of fetal ischemic-hypoxic damage. A healthy child was born with an Apgar score of 8/10, 3790 grams /53 cm, with a normal neonatal course. On the third postpartum day, because of persistent neurologic symptom…