Acute ischaemic stroke in pregnancy

Stroke is a neurological emergency that can be either ischaemic or haemorrhagic. Hypertensive disorders of pregnancy are an important risk factor for haemorrhagic stroke, while thrombophilia (acquired or congenital) could increase the risk of ischaemic stroke. Pregnancy itself is a thrombogenic condition, and pregnancy-associated conditions like hyperemesis, pre-eclampsia and ovarian hyperstimulation in assisted conception may further increase this risk. Maternal stroke during pregnancy is an infrequent but debilitating condition that can lead to long-term disability and death. Early diagnosis, prompt treatment and multidisciplinary team management are crucial in optimising outcomes in such cases. Here, we discuss a rare presentation of acute ischaemic stroke in an uncomplicated primigravida, its management and impact on pregnancy outcome.