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Chapter 25 - Headache and Stroke in Pregnancy

from Section 4 - Neurological Disorders in Pregnancy

Published online by Cambridge University Press:  23 February 2023

By
Isabelle Malhamé ,
Amira El-Messidi  and
Catherine Legault
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

During your on-call duty, a 34-year-old primigravida at 23 weeks’ gestation with no systemic condition presents to the obstetric emergency assessment unit with a one-day history of a headache.

Keywords

Headache, pregnancyMigrainePrimary and secondary headacheNeuroimaging, computed tomography, magnetic resonance imagingLaboratory investigationsMigraine, pharmacologic nonpharmacologic treatmentMaternal-fetal risksStroke, acute managementAlteplaseEndovascular thrombectomyAntepartum, intrapartum managementPreconception counselingContraception
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 349 - 360
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

(a)Burch, R. Headache in pregnancy and the puerperium. Neurol Clin. 2019;37(1):31–51.CrossRefGoogle ScholarPubMed
Burch, R. Epidemiology and treatment of menstrual migraine and migraine during pregnancy and lactation: a narrative review. Headache. 2020;60(1):200–216.CrossRefGoogle ScholarPubMed
Camargo, EC, Feske, SK, Singhal, AB. Stroke in pregnancy: an update. Neurol Clin. 2019;37(1):131–148.CrossRefGoogle ScholarPubMed
Grear, KE, Bushnell, CD. Stroke and pregnancy: clinical presentation, evaluation, treatment, and epidemiology. Clin Obstet Gynecol. 2013;56(2):350–359.CrossRefGoogle ScholarPubMed
Ladhani, NNN, Swartz, RH, Foley, N, et al. Canadian stroke best practice consensus statement: acute stroke management during pregnancy. Int J Stroke. 2018;13(7):743–758.Google Scholar
Miller, EC, Leffert, L. Stroke in pregnancy: a focused update. Anesth Analg. 2020;130(4):1085–1096.Google Scholar
O’Neal, MA. Headaches complicating pregnancy and the postpartum period. Pract Neurol. 2017;17(3):191–202.Google Scholar
Roth, J, Deck, G. Neurovascular disorders in pregnancy: A review. Obstet Med. 2019;12(4):164–167.CrossRefGoogle ScholarPubMed
Scottish Intercollegiate Guidelines Network (SIGN). Pharmacological management of migraine. Edinburgh: SIGN publication no. 155. February 2018.Google Scholar
Swartz, RH, Ladhani, NNN, Foley, N, et al. Canadian stroke best practice consensus statement: secondary stroke prevention during pregnancy. Int J Stroke. 2018;13(4):406–419.Google Scholar
van Alebeek, ME, de Heus, R, Tuladhar, AM, et al. Pregnancy and ischemic stroke: a practical guide to management. Curr Opin Neurol. 2018;31(1):44–51.Google Scholar

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