Introduction: Acute stroke during pregnancy is a rare event, but its incidence is rising nowadays, and it has worse maternal and fetal outcomes.
Material and methods: Here we report a case of 40-year-old female came with 9-month amenorrhea and left-sided upper and lower limb hemiparesis with severe preeclampsia. This was an upper motor neuron type lesion and was managed conservatively initially, and after stabilization her emergency lower segment cesarean section was done for obstetric indications under proper anesthetic guidance. She was managed with multidisciplinary approach and was discharged on the 8th postoperative day in a satisfactory condition.
Conclusion: Acute cerebrovascular accidents during pregnancy are managed by early diagnosis, proper intervention, and multidisciplinary team approach, which reduces maternal and fetal mortality and morbidity.
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