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Stroke in Pregnancy

  • Steven K. FeskeEmail author
Chapter

Abstract

Pregnancy confers an increased risk of both ischemic and hemorrhagic stroke, and, though uncommon, pregnancy-associated stroke is an important cause of long-term disability in young women. This chapter begins with a brief review of the physiologic and pathophysiologic features of pregnancy that contribute to stroke risk and the epidemiology of different types of stroke in pregnancy. It then moves to diagnosis and therapy. Because physicians who do not routinely treat pregnant women may shy away from decision-making due to concern for risk, it is important to emphasize the options for rapid imaging diagnosis during pregnancy. Stroke therapies have expanded greatly in recent years, and their applications demands rapid action. To provide pregnant women with the fullest opportunity to benefit from such advances, it is critical that physicians be aware of the potential therapies and their availability during pregnancy and the puerperium.

Keywords

Pregnancy-associated stroke Ischemic stroke Cerebral hemorrhage Cerebral venous sinus thrombosis Pregnancy Preeclampsia-eclampsia 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Harvard Medical School, Division of Stroke and Cerebrovascular Disease, Neurology DepartmentBrigham and Women’s HospitalBostonUSA

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