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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526


IGLESIAS S, Carlos et al. Ictus isquémico poscefalea migrañosa en gestante a término. Rev. chil. obstet. ginecol. [online]. 2011, vol.76, n.3, pp.175-179. ISSN 0717-7526.

We report a case of a 38.3 weeks first prengancy woman o 32 year old who comes to the emergency service because she referred a two day acute migraine headache of sudden appereance with spintherism and a loose of a part of the left visual field. She did not had convulsive seizures nor strength or sensitive looses. Blood pressure was incongruous with preeclampsia, and she did not have proteinuria. After reassuring about well fetal being she is studied by ophtalmologists and neurologist who diagnose an of upper-left quadrantapnosia due to a reversible cerebral vasoconstriction syndrome. NMR and angio-NMR show a cerebral infarction in the right back cerebral artery area. Because of the risk of an spontaneous start of birth labour and the need of salicilyc acid treatment we decided to finish the pregnancy practising an urgent caesarean section under general anesthesic with an excellent mother and fetal result.

Palabras clave : Pregnancy; migraine; ictus.

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