Two cases of postpartum hemiplegia followed by almost full recovery are presented. In both patients, the hemiplegia, accompanied by subarachnoid hemorrhage, occurred soon after delivery. One patient presumably had unilateral cerebral swelling with an incidental toxemia of pregnancy; this patient improved rapidly. In contrast, the other case was one of intracerebral hemorrhage perhaps due to major blood pressure changes after the effects of spinal anesthesia and a vasopressor drug. The arteriogram patterns were similar initially, but a second arteriogram, perfomed after deterioration in the patient with intracerebral hemorrhage, disclosed the parasagittal hematoma. Surgery was necessary to remove the hematoma. No aneurysm was seen.
Fisher RG, Rollas Z. Postpartum Hemiplegia. JAMA. 1960;174(2):155–158. doi:10.1001/jama.1960.03030020043011