Multiple Cerebral Infarctions Associated with Polycystic Ovaries and Ovarian Hyperstimulation Syndrome

摘要

Ovarian hyperstimulation syndrome (OHSS) is a potentially lethal complication of ovulation induction 1, 2. OHSS can represent electrolyte imbalance, neuro-hormonal and hemodynamic changes, pulmonary manifestations, liver dysfunction, hypoglobulinemia, febrile morbidity and thromboembolic phenomena. Past studies have indicated that OHSS has a significant and consistent relationship with polycystic ovaries. When polycystic ovaries are present, OHSS can develop more frequently than in a normal female .A thromboembolic phenomenon in OHSS is clinically important due to potential severe complications. Thromboembolism,combined with OHSS, occurs primarily in the venous system, but case reports of cerebral infarction in OHSS can also be found in the literature 4-6. We report a case of massive and progressive cerebral infarction with OHSS and polycystic ovaries, occurring several days after in vitro fertilization and embryo transfer.