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題名 | Ischemic Stroke in a Young Woman with Ovarian Hyperstimulation Syndrome=一年輕婦女因卵巢過度刺激症候群而引起缺血性中風 |
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作者 | 黃文柱; 賴明亮; 許朝欽; 侯念岑; Hwang, Wen-juh; Lai, Ming-liang; Hsu, Chao-chin; Hou, Nien-tsen; |
期刊 | 臺灣醫學會雜誌 |
出版日期 | 19980700 |
卷期 | 97:7 1998.07[民87.07] |
頁次 | 頁503-506 |
分類號 | 417.151 |
語文 | eng |
關鍵詞 | 卵巢過度刺激症候群; 缺血性中風; In vitro fertilization-embryo transfer; Ovarian hyperstimulation syndrome; Cerebral infarction; |
英文摘要 | We present a case of right middle cerebral artery occlusion after a controlled ovarian hyperstimulation regimen and cryopreserved embryo transfer (ET) in a previously healthy 22-year-old woman. The patient suffered from nausea and progressive abdominal distension 8 days after ET. Under the diagnosis of ovarian hyperstimulation syndrome, she was treated with hypertonic solution, albumin infusion, and paracentesis, with some improvement. Left hemiparesis and dysarthria occurred suddenly on the fourth day of hospitalization, 11 days after ET. The neurologic deficits progressed to complete hemiplegia within a few hours. Computed tomography of the head showed infarction in the territory of the right middle cerebral artery. Magnetic resonance angiography reveled occlusion of the main trunk of the right middle cerebral artery. Laboratory studies showed leukocytosis with neutrophil predominance and a hypercoagulable state. The pregnancy was terminated because of progressive tachycardia, dyspnea, and increased abdominal girth despite supportive treatmene. The neurologic deficits remained stationary at the time of discharge. This case emphasizes that the recent advent of ovulation induction and assisted reproductive techniques is a newly recognized cause of devastating cerebral infarction in otherwise healyth women. |
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