Skip Navigation LinksHome > February 2014 - Volume 20 - Issue 1, Neurology of Pregnancy > Cerebrovascular Disorders Complicating Pregnancy
CONTINUUM: Lifelong Learning in Neurology:
doi: 10.1212/01.CON.0000443838.95260.4b
Review Articles

Cerebrovascular Disorders Complicating Pregnancy

Feske, Steven K. MD; Singhal, Aneesh B. MD

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Abstract

Purpose of Review

This article discusses the physiologic changes of pregnancy and how they affect risk of ischemic and hemorrhagic stroke and then reviews epidemiology, diagnosis, and treatment of ischemic and hemorrhagic stroke in pregnancy and the puerperium.

Recent Findings

This article updates our understanding of the relationship of preeclampsia/eclampsia to the posterior reversible encephalopathy syndrome and the reversible cerebral vasoconstriction syndrome, emphasizing their shared pathogenesis. It reviews the most recent data and offers recommendations concerning the use of thrombolytic and other revascularization therapies for pregnancy-related strokes.

Summary

Although cerebrovascular complications are uncommon occurrences during pregnancy and the puerperium, stroke is still the most common seriously disabling complication of pregnancy. Therefore, stroke and other vascular issues raise questions about the best evaluation and management that is safe for mother and child.

Copyright © 2014 by the American Academy of Neurology.

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