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Management of a Pregnant Patient With Central Poststroke Pain Syndrome Ultimately Having a Cesarean Delivery

A Case Report

Kalopita, Konstantina, MD, MSc; Skandalou, Vasiliki, MD; Valsamidis, Dimitrios, MD, PhD

doi: 10.1213/XAA.0000000000000945
Case Reports

Cerebrovascular events, along with the early presentation of central pain, during pregnancy, are uncommon. We report a case of a parturient with intense central poststroke pain after an ischemic cerebrovascular incident at 15 weeks of gestation, attributed to cerebral venous thrombosis. After a multidisciplinary team consultation, she was scheduled for cesarean delivery at 35 weeks of gestation, under combined spinal-epidural anesthesia. Due to severe left-sided neurological deficits and ipsilateral intense neuropathic pain, the neuraxial technique was successfully performed using the paramedian approach.

From the Department of Anesthesiology and Pain Medicine, “Alexandra” General Hospital of Athens, Athens, Greece.

Accepted for publication November 5, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Konstantina Kalopita, MD, MSc, Department of Anaesthesiology and Pain Medicine, “Alexandra” General Hospital, 80 Vasilissis Sofias, Ave&Lourou St, Athens, 11528, Greece. Address e-mail to

Compendium date: June 03, 2019

© 2019 International Anesthesia Research Society
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