Advertisement

Emergency Radiology

, Volume 25, Issue 4, pp 435–440 | Cite as

Imaging of neurovascular emergencies in pregnancy and puerperium

  • Kajari Bhattacharya
  • Hima Pendharkar
Pictorial Essay

Abstract

Acute neurovascular events, though rare, can complicate pregnancy and postpartum period. It is important to be aware of these clinical conditions for reducing maternal and fetal morbidity and mortality. In this review, we present a few important neurovascular emergencies and their imaging manifestations by various imaging modalities—computed tomography (CT), magnetic resonance imaging (MRI), and digital subtraction angiography (DSA)—which presented at our institution in the peripartum period.

Keywords

Peripartum Neurovascular emergencies Digital subtraction angiography 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Hosley C, McCullough L (2011) Acute neurological issues in pregnancy and the peripartum. Neurohospitalist 1(2):104–116CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    American College of Obstetricians and Gynecologists' Committee on Health Care for Underserved Women (2016) Committee Opinion No. 656 Summary. Obstet Gynecol 127(2):418CrossRefGoogle Scholar
  3. 3.
    Shaw P, Duncan A, Vouyouka A, Ozsvath K (2011) Radiation exposure and pregnancy. J Vasc Surg 53(1):28S–34SCrossRefPubMedGoogle Scholar
  4. 4.
    He S, Mack W (2014) Considering radiation exposure during diagnostic and therapeutic procedures for arteriovenous malformations in the setting of pregnancy. World Neurosurg 81(1):22–24CrossRefPubMedGoogle Scholar
  5. 5.
    Agarwal N, Guerra J, Gala N et al (2014) Current treatment options for cerebral arteriovenous malformations in pregnancy: a review of the literature. World Neurosurg 81(1):83–90CrossRefPubMedGoogle Scholar
  6. 6.
    Delfyett W, Fetzer D (2012) Imaging of neurologic conditions during pregnancy and the perinatal period. Neurol Clin 30(3):791–822CrossRefPubMedGoogle Scholar
  7. 7.
    Dineen R, Banks A, Lenthall R (2005) Imaging of acute neurological conditions in pregnancy and the puerperium. Clin Radiol 60(11):1156–1170CrossRefPubMedGoogle Scholar
  8. 8.
    Liu X, Wang S, Zhao Y, Teo M, Guo P, Zhang D, Wang R, Cao Y, Ye X, Kang S, Zhao JZ (2014) Risk of cerebral arteriovenous malformation rupture during pregnancy and puerperium. Neurology 82(20):1798–1803CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Chowdhury F, Haque M, Kawsar K, Sarker M, Momtazul Haque A (2013) Surgical management of scalp arterio-venous malformation and scalp venous malformation: an experience of eleven cases. Indian J Plast Surg 46(1):98–107CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Ducros A (2012) Reversible cerebral vasoconstriction syndrome. Lancet Neurol 11(10):906–917CrossRefPubMedGoogle Scholar
  11. 11.
    Miller T, Shivashankar R, Mossa-Basha M, Gandhi D (2015) Reversible cerebral vasoconstriction syndrome, part 1: epidemiology, pathogenesis, and clinical course. Am J Neuroradiol 36(8):1392–1399CrossRefPubMedGoogle Scholar
  12. 12.
    Hauenstein E, Frank H, Bauer J, Schneider K, Fischer T (2010) Takayasu’s arteritis in pregnancy: review of literature and discussion. J Perinat Med 38(1):55–62CrossRefPubMedGoogle Scholar
  13. 13.
    Cunningham T, Rajesh U (2012) Management of a pregnancy with underlying fibromuscular dysplasia with a history of stroke and carotid artery dissection. Arch Dis Child Fetal Neonatal Ed 97(Suppl 1):A54.2–A5A54CrossRefGoogle Scholar
  14. 14.
    Nolte J, Rutherford R, Nawaz S, Rosenberger A, Speers W, Krupski W (1995) Arterial dissections associated with pregnancy. J Vasc Surg 21(3):515–520CrossRefPubMedGoogle Scholar
  15. 15.
    Bhatia S, Kapoor A, Sharma A, Gupta R, Kataria S (2014) Cerebral encephalopathy with extrapontine myelinolysis in a case of postpartum hypernatremia. Indian J Radiol Imaging 24(1):57–60CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Shetty N, Achar S, Joseph T (2011) Posterior reversible encephalopathy syndrome at term pregnancy. Indian J Anaesth 55(4):399–401CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© American Society of Emergency Radiology 2018

Authors and Affiliations

  1. 1.Department of Neuroimaging and Interventional RadiologyNIMHANSBangaloreIndia

Personalised recommendations