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preeclampsia/eclampsia

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Chapter 26 - Neurologic Emergencies of Pregnancy
from Section 3 - Specific Neurological Disorders in Emergency Medicine
- By Ronald L. Thomas, Andrea Synowiec, Roseann Covatto, Thomas P. Campbell
Edited by Thomas P. Campbell, Allegheny Health Network, Pittsburgh, Kevin M. Kelly, Allegheny Health Network, Pittsburgh
Book:

Handbook of Emergency Neurology

Published online:

10 January 2024

Print publication:

17 August 2023, pp 374-391
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Summary

The spectrum of neurologic emergencies in pregnancy extends from life-threatening eclamptic seizures to self-limiting paresthesias. Pregnancy markedly modifies human physiology, creating a unique and challenging physical and laboratory evaluation. In addition, pregnant patients may present with gestational and peripartum conditions resulting directly from pregnancy, but also a portent of future disease as well as exacerbation of pre-existing conditions changed by the patient’s gravid state. All of these issues can be complicated by the “second patient” (the fetus), which requires careful consideration.