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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
By
Dejana R. Jovanović
Edited by
Derya Uluduz
Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
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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

Keywords

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

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References

Chang, J, Elam-Evans, LD, Berg, CJ, et al. Pregnancy-related mortality surveillance: United States 1991–1999. MMWR Surveill Summ. 2003;52: 1–8.Google ScholarPubMed
Miller, EC, Leffert, L. Stroke in pregnancy: A focused update. Anesth Analg. 2020;130: 1085–1096.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): 80–99.Google ScholarPubMed
Camargo, EC, Feske, SK, Singhal, AB. Stroke in pregnancy: An update. Neurol Clin. 2019;37: 131–148.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: 175–185.CrossRefGoogle ScholarPubMed
Dusse, LM, Alpoim, PN, Silva, JT, et al. Revisiting HELLP syndrome. Clin Chim Acta. 2015;451(Pt B): 117–120.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: 500–508.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: 1133–1146.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: 935–943.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: 45–52.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: 317–326.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: 227–236.CrossRefGoogle ScholarPubMed
Khan, M, Wasay, M. Haemorrhagic strokes in pregnancy and puerperium. Int J Stroke. 2013;8: 265–272.CrossRefGoogle ScholarPubMed

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