A twenty six years old woman presented with visual disturbance, headache and gait disturbance ten weeks postpartum. Imaging studies identified an acute infarction in the left thalamus. This case report discusses her presentation, investigations and management and the aetiology of stroke in pregnancy and the postpartum period.Allison sJ, BAsit A, omer mohd hussein, Ahmed rA InTRoduCTIonThere is an increased risk of stroke during pregnancy and the postpartum period with the risk greatest deemed to be in the immediate post-partum period. Stroke is an important contributor to maternal morbidity and mortality with four women dying of cerebral thrombosis during the period of 2006 to 2008, a rate of 0.17 per 100,000 maternities [1]. The rate of stroke during the postpartum period has increased by 83% from 0.12 in 1994 to 0.22 per 1,000 deliveries in 2006 according to a recent study by Kuklina et al., [2]. During the study period the total number of pregnancy related hospitalisations that involved a stroke also increased by a relative 54% [2] so this may be an increasing presentation in pregnant and recently pregnant women. We are presenting a rare case of stroke in the late postpartum period. The case report discusses her presentation, investigations and management and the aetiology of stroke in pregnancy and the postpartum period.