Neurological Emergencies During Pregnancy
Neurovascular disorders are a major cause of maternal morbidity and mortality. Even though eclampsia is the commonest neurological emergency faced by an obstetrician, it is important to recognise and manage other neurological emergencies. The other important causes are cerebral venous thrombosis, reversible cerebral vasoconstrictive syndrome, etc. CT and MRI are of importance in identifying specific conditions, though the management of these disorders is a “team effort” of neurologist, intensivist, radiologist and obstetrician. The responsibility for early recognition and diagnosis often falls on the primary treating obstetrician. Any woman with an existing neurologic condition should consult her obstetrician and her neurologist before she becomes pregnant. During this consultation, the patient can be advised about the possible risks associated with her condition during pregnancy and about the possible teratogenic effects of her medications.