Case A 35-year-old woman was brought to the Emergency Department with complaints of left-sided weakness, headache, blurred vision, up rolling of eyes, slurring of speech, focal sensory losses, and gait disturbances. History The patient was 10 th day post-partum. Pregnancy history- Moderate gestational hypertension during the second trimester. BP was under control during the 2 nd and 3 rd trimesters by Labetalol and Methyldopa. No proteinuria Labour and delivery history- Delivered a normal baby via vertex delivery at 38 weeks.
The placenta was removed 20 minutes after delivery. On the first post-partum day, the bleed was roughly 500 ml, and BP was reported normal. On the second post-partum day, there was a 300 ml bleed with normal vitals. Subsequently, she was discharged from the hospital. Examination Sinus tachycardia Failure of upward gaze Inter-nuclear ophthalmoplegia Blurred vision…
