What is it about?

It is about a case of a pregnant patient who presented with symptoms of a stroke in the third trimester of pregnancy that was caused by pre-eclampsia. The medical team, involving different specialties, worked together to ensure that both the mother and the baby survived and had a good outcome.

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Why is it important?

This is an important article, focusing on the management of an ischaemic stroke in the third trimester of pregnancy. We tried to highlight the diagnostic and therapeutic challenges that a clinician can have while managing a case like this, but also the importance of a multidisciplinary approach between different specialties. A significant conclusion we had, was that such patients are best managed in units where both a stroke team and an obstetric team are present to manage this condition as quickly and efficiently as possible.


Writing this article was a great pleasure as it motivated me to study on a condition that is not frequently seen by Obstetricians and enabled me to raise awareness that standard methods to treat a stroke are safe in pregnancy and should always be considered for the mother's benefit.

Alexandros Grammatis
Oxford University Hospitals NHS Foundation Trust

Read the Original

This page is a summary of: Ischaemic stroke and pre-eclampsia in the third trimester of pregnancy: a diagnostic and therapeutic challenge, BMJ Case Reports, December 2019, BMJ,
DOI: 10.1136/bcr-2019-229635.
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