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Chapter 44 - Neurologic Complications in Pregnancy (Content last reviewed: 15th October 2018)

from Section 5 - Late Pregnancy – Maternal Problems

Published online by Cambridge University Press:  15 November 2017

By
J. Ricardo Carhuapoma ,
Michael W. Varner  and
Steven R. Levine
Edited by
David James ,
Philip Steer ,
Carl Weiner ,
Bernard Gonik  and
Stephen Robson
David James
Affiliation:
University of Nottingham
Philip Steer
Affiliation:
Imperial College London
Carl Weiner
Affiliation:
University of Kansas
Bernard Gonik
Affiliation:
Wayne State University, Detroit
Stephen Robson
Affiliation:
University of Newcastle
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Summary

Neurologic conditions are among the more common concurrent medical conditions encountered during pregnancy. Table 44.1 shows the prevalence of several such neurologic diseases. Despite their cumulative prevalence, the relative rarity of many of these conditions limits the actual clinical experience of both the managing obstetrician and the neurologist. In addition, the individual practitioner is further hampered by the limited amount of pregnancy-specific information available. The frequent overlap of symptoms associated with common pregnancy complaints, the sometimes disabling and lethal consequences of the disease, and the fetal effects of the maternal disease and/or treatment make the diagnosis and management of neurologic disease during pregnancy an often-daunting task.

Type
Chapter
Information
High-Risk Pregnancy
Management Options
 , pp. 1272 - 1320
Publisher: Cambridge University Press
First published in: 2017

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References

Further Reading

Briggs, GG, Freeman, R, Yaffe, SJ (eds). Drugs in Pregnancy and Lactation. Philadelphia, PA: Lippincott Williams & Williams, 2008.Google Scholar
Coutinho, JM, Majoie, CB, Coert, BA, Stam, J. Decompressive hemicraniectomy in cerebral sinus thrombosis: Consecutive case series and review of the literature. Stroke 2009; 40: 2233–5.CrossRefGoogle ScholarPubMed
Davis, SM, Donnan, GA. 4.5 hours: the new time window for tissue plasminogen activator in stroke. Stroke 2009; 40: 2266–7.CrossRefGoogle ScholarPubMed
Helms, AK, Drogan, O, Kittner, SJ. First trimester stroke prophylaxis in pregnant women with a history of stroke. Stroke 2009; 40: 1158–61.CrossRefGoogle ScholarPubMed
Murugappan, A, Coplin, WM, Al-Sadat, AN, et al. Thrombolytic therapy of acute ischemic stroke during pregnancy. Neurology 2006; 66: 768–70.CrossRefGoogle ScholarPubMed
Pennell, PB. Antiepileptic drug pharmacokinetics during pregnancy and lactation. Neurology 2003; 61: S35–42.Google Scholar
Piotin, M, de Souza Filho, CB, Kothimbakam, R, Moret, J. Endovascular treatment of acutely ruptured intracranial aneurysms in pregnancy. Am J Obstet Gynecol 2001; 185: 1261–2.CrossRefGoogle ScholarPubMed
Sances, G, Granella, F, Nappi, RE, et al. Course of migraine during pregnancy and postpartum: A prospective study. Cephalalgia 2003; 23: 197–205.Google Scholar
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Wong, CA, Scavone, BM, Dugan, S, et al. Incidence of postpartum lumbosacral spine and lower extremity nerve injuries. Obstet Gynecol 2003; 101: 279–88.Google Scholar

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