Neurovascular disorders in pregnancy: A review.
Julie RothGina DeckPublished in: Obstetric medicine (2019)
While rare, neurovascular disorders that occur in pregnant or postpartum women are associated with high morbidity and mortality, thus necessitating prompt identification and treatment. The most common symptoms include headache, focal neurological features, and seizures. Factors such as pregnancy-related hypercoagulability and hemodynamic changes put women at risk for neurovascular disorders in the third trimester and early postpartum period. The biggest risk factors for stroke in pregnancy are hypertension and the preeclampsia/eclampsia spectrum. This review outlines the diagnosis and treatment of pregnant and postpartum women with ischemic and hemorrhagic stroke, cerebral venous sinus thrombosis, posterior reversible encephalopathy syndrome, and reversible cerebral vasoconstriction syndrome. Trial registration: Not applicable.
Keyphrases
- pregnancy outcomes
- pregnant women
- cerebral ischemia
- preterm birth
- early onset
- atrial fibrillation
- subarachnoid hemorrhage
- polycystic ovary syndrome
- blood pressure
- case report
- clinical trial
- pulmonary embolism
- blood brain barrier
- metabolic syndrome
- randomized controlled trial
- phase iii
- depressive symptoms
- insulin resistance
- ischemia reperfusion injury
- gestational age
- oxidative stress
- cervical cancer screening
- cerebral blood flow
- adipose tissue
- replacement therapy
- open label
- drug induced
- temporal lobe epilepsy