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3 results

  • Chapter 14 - Neuroimaging in Pregnancy and Epilepsy

  • Edited by Esther Bui, Toronto Western Hospital, P. Emanuela Voinescu, Brigham & Women's Hospital, Boston, MA
  • Book:
    Women with Epilepsy
    Published online:
    19 December 2024
    Print publication:
    02 January 2025, pp 241-256

  • Summary

    Neuroimaging plays an important role in workup of pregnant patients with seizures. Seizures in pregnant and postpartum women may be due to pre-existing epilepsy, the initial manifestation of a primary central nervous system–related problem, or a neurologic problem unique to pregnancy and the postpartum period. Multidisciplinary decision making is required when selecting the most suitable neuroimaging technique and the specific protocol. The different clinical scenarios in a pregnant patient with seizures are reviewed and suitable MR protocols are discussed for each clinical context. Safety considerations for CT and MR as well as iodinated and gadolinium-based contrasts are summarized, together with the most recent recommendations.