Acute Cerebrovascular Accidents Secondary to Internal Carotid Artery Thrombosis in Severe Ovarian Hyperstimulation Syndrome (OHSS)

Chin-Man Wang, Yi-Chou Wang, Yin-Chou Lin, Yu-Wei Hu and Ji-Yih Chen

Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital and Chang Gung University,
Taiwan
Department of Neurosurgery, Chang Gung Memorial Hospital and Chang Gung University, Taiwan
Department of Medicine, Chang Gung Memorial Hospital and Chang Gung University, Taiwan

^*Correspondance to: Chin-Man Wang 

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Abstract:

Severe Ovarian Hyperstimulation Syndrome (OHSS) is an uncommon iatrogenic complication, and complicated cerebral infarctions is exceedingly rare. We present a case of 39-year-old young woman with left cerebral infarctions due to OHSS in first trimester of pregnancy after ovulation induction therapy. At beginning, she was treated with paracentesis conservatively at same clinic of district hospital. Later on, she was transferred to our medical center due to neurological deterioration from large left hemispheric infarctions with pending uncal herniation, and the craniotomy and lobectomy were performed in our medical center. The pregnancy was terminated at 12 weeks gestation for management of OHSS complicated with cerebral infarctions. Due to left hemispheric infarctions, she had neurological deficits with the functional impairments of right hemiplegia and global aphasia. After 6 weeks of intensive rehabilitation, she was able to ambulate with assistance but could speak only a few words at discharged. Knowledge of OHSS facilitates early detection and prevents catastrophic complications, and intensive hospitalized treatment is indicated for serious OHSS. According, neurological deficits with OHSS should be considered as criteria for hospitalization.

Keywords:

Ovarian hyperstimulation syndrome; Thromboembolic stroke

Cite the Article:

Wang C-M, Wang Y-C, Lin Y-C, Hu Y-W, Chen J-Y. Acute Cerebrovascular Accidents Secondary to Internal Carotid Artery Thrombosis in Severe Ovarian Hyperstimulation Syndrome (OHSS). Ann Clin Case Rep. 2017; 2: 1362.