Cerebrovascular Complications of Pregnancy and the Postpartum Period

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作者
Ali Razmara
Khamid Bakhadirov
Ayush Batra
Steven K. Feske
机构
[1] Massachusetts General and Brigham and Women’s Hospitals,Fellow in Vascular Neurology
[2] Brigham and Women’s and Massachusetts General Hospitals/Harvard Medical School,Resident in Neurology
[3] Brigham and Women’s Hospital,Neurology Department
[4] Harvard Medical School,undefined
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关键词
Cerebrovascular complications; Pregnancy; Postpartum period; Ischemic stroke; Hemorrhagic stroke; Cerebral venous thrombosis; Pre-eclampsia-eclampsia;
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摘要
Cerebrovascular complications of pregnancy, though uncommon, threaten women with severe morbidity or death, and they are the main causes of major long-term disability associated with pregnancy. In this review, we discuss the epidemiology, pathophysiology, presentation and diagnosis, and management and outcomes of ischemic and hemorrhagic stroke and cerebral venous thrombosis. We also discuss the posterior reversible encephalopathy syndrome, the reversible cerebral vasoconstriction syndrome including postpartum cerebral angiopathy, and their relationship as overlapping manifestations of pre-eclampsia-eclampsia.
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