Case Presentation #9

A 39 year old woman is taken to ER by her husband. she is a 37 weeks pregnant, G2P1A0 who has been feeling dizziness for 3 hours. Upon arrival her BP was 170/95 mmHg and PR was 105/min. Her lab tests revealed 2+ proteinuria and the platelet count was 97000. She was admitted to the ICU with diagnosis of preeclampsia and HELLP syndrome which is characterized by a simultaneous occurrence of hemolysis, elevated liver enzymes, and low platelet count. It is estimated that in 30% of gravids with eclampsia/preeclampsia unrolls stroke. After a few hours of admission she suddenly became unresponsive and unconscious as if the gynecologist transferred her to OR to perform emergent cesarean section. Fortunately a generally healthy baby was born but in the recovery room she realized that she couldn't move her right arm. Brain CT scan showed left sided minor hemorrhagic stroke. After referring to physiotherapy clinic she was scheduled for receiving combination therapy (conventional therapy added with VR game-based rehabilitation) for eight weeks. Just after six sessions of Recovery Tech VR rehabilitation amazing improvement in motor function was observed and recorded by the occupational therapist.