Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-22T04:19:40.838Z Has data issue: false hasContentIssue false

Chapter 7.2 - Eclampsia and Strokes during Pregnancy and Postpartum

from 7 - Vasospastic Conditions and Other Vasculopathies

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
Get access

Summary

Typical neuroimaging presentation of preeclampsia/eclampsia are posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS).Eclampsia carries a high risk for stroke, both hemorrhagic and ischemic. Besides eclampsia, pregnancy-specific causes of ischemic stroke are peripartum cardiomyopathy, postpartum benign angiopathy, amniotic fluid embolization and choriocarcinoma.The incidence of cerebral venous thrombosisis the highest during postpartum and is increased in older women, cesarean delivery, or epidural anesthesia, in the presence of infection, obesity or thrombophilia. Risk factors for hemorrhagic stroke during pregnancy and postpartum are older age, pregestational and gestational hypertension, preeclampsia/eclampsia, coagulopathies, and smoking

Type
Chapter
Information
Rare Causes of Stroke
A Handbook
, pp. 299 - 304
Publisher: Cambridge University Press
Print publication year: 2022

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chang, J, Elam-Evans, LD, Berg, CJ, et al. Pregnancy-related mortality surveillance: United States 1991–1999. MMWR Surveill Summ. 2003;52: 18.Google ScholarPubMed
Miller, EC, Leffert, L. Stroke in pregnancy: A focused update. Anesth Analg. 2020;130: 10851096.CrossRefGoogle ScholarPubMed
Ban, L, Sprigg, N, Abdul Sultan, A, et al. Incidence of first stroke in pregnant and nonpregnant women of childbearing age: A population-based cohort study from England. J Am Heart Assoc. 2017;6: e004601.CrossRefGoogle ScholarPubMed
Feske, SK, Singhal, AB. Cerebrovascular disorders complicating pregnancy. Continuum (Minneap Minn). 2014;20(1 Neurology of Pregnancy): 8099.Google ScholarPubMed
Camargo, EC, Feske, SK, Singhal, AB. Stroke in pregnancy: An update. Neurol Clin. 2019;37: 131148.CrossRefGoogle ScholarPubMed
Crovetto, F, Somigliana, E, Peguero, A, Figueras, F. Stroke during pregnancy and pre-eclampsia. Curr Opin Obstet Gynecol. 2013; 25: 425–32.CrossRefGoogle ScholarPubMed
Edlow, JA, Caplan, LR, O’Brien, K, Tibbles, CD. Diagnosis of acute neurological emergencies in pregnant and post-partum women. Lancet Neurol. 2013;12: 175185.CrossRefGoogle ScholarPubMed
Dusse, LM, Alpoim, PN, Silva, JT, et al. Revisiting HELLP syndrome. Clin Chim Acta. 2015;451(Pt B): 117120.CrossRefGoogle ScholarPubMed
Mortimer, AM, Bradley, MD, Likeman, M, Stoodley, NG, Renowden, SA. Cranial neuroimaging in pregnancy and the post-partum period. Clin Radiol. 2013;68: 500508.CrossRefGoogle ScholarPubMed
Levitt, A, Zampolin, R, Burns, J, Bello, JA, Slasky, SE. Posterior reversible encephalopathy syndrome and reversible cerebral vasoconstriction syndrome distinct clinical entities with overlapping pathophysiology. Radiol Clin N Am. 2019;57: 11331146.CrossRefGoogle ScholarPubMed
Liman, TG, Bohner, G, Heuschmann, PU, et al. Clinical and radiological differences in posterior reversible encephalopathy syndrome between patients with preeclampsia/eclampsia and other predisposing diseases. Eur J Neurol. 2012;19: 935943.CrossRefGoogle ScholarPubMed
Hugonneta, E, Da Inesa, D, Bobyb, H, et al. Posterior reversible encephalopathy syndrome (PRES): Features on CT and MR imaging. Diag Interv Imaging. 2013;94: 4552.CrossRefGoogle Scholar
Biteker, M, Kayatas, K, Duman, D, Turkmen, M, Bozkurt, B. Peripartum cardiomyopathy: Current state of knowledge, new developments, and future directions. Curr Cardiol Rev. 2014;10: 317326.CrossRefGoogle ScholarPubMed
Del Zotto, E, Giossi, A, Volonghi, I, et al. Ischemic stroke during pregnancy and puerperium. Stroke Res Treat. 2011; 606780.CrossRefGoogle Scholar
Cauldwell, M, Rudd, A, Nelson-Piercy, C. Management of stroke and pregnancy. Eur Stroke J. 2018;3: 227236.CrossRefGoogle ScholarPubMed
Khan, M, Wasay, M. Haemorrhagic strokes in pregnancy and puerperium. Int J Stroke. 2013;8: 265272.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×