Basal Ganglia Infarct in Young Female Patient: in Consideration with D.V.T and Paradoxical Emboli

Abstract

Twenty four years old female presented on the 20^th postnatal day with painful swelling of her limbs (more in the lower limbs) along with headache, nausea, and right sided weakness. On the basis of the history, relevant physical examination and investigations (C.T scan brain and echocardiography) she was diagnosed to have a paradoxical emboli from D.V.T (deep venous thrombosis) of her legs that reached her brain through patent foramen oval causing a basal ganglia infarct. Based on her serum albumin and ascetic albumin, her diagnosis was made which was in the favor of nephrotic syndrome. She was heparinized and anti-platelets aggregating therapy was initiated for her deep venous thrombosis. She was advised to get physiotherapy for the weakness she had on her right side. Because of timely diagnosis and early treatment her weakness had a gross improvement and she was able to start moving her limbs by herself at the time of hospital discharge.