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Chapter 7.2 - Eclampsia and Strokes during Pregnancy and Postpartum

from 7 - Vasospastic Conditions and Other Vasculopathies

Published online by Cambridge University Press:  06 October 2022

Anita Arsovska
Affiliation:
University of Ss Cyril and Methodius
Derya Uluduz
Affiliation:
Istanbul Üniversitesi
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Summary

Typical neuroimaging presentation of preeclampsia/eclampsia are posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS).Eclampsia carries a high risk for stroke, both hemorrhagic and ischemic. Besides eclampsia, pregnancy-specific causes of ischemic stroke are peripartum cardiomyopathy, postpartum benign angiopathy, amniotic fluid embolization and choriocarcinoma.The incidence of cerebral venous thrombosisis the highest during postpartum and is increased in older women, cesarean delivery, or epidural anesthesia, in the presence of infection, obesity or thrombophilia. Risk factors for hemorrhagic stroke during pregnancy and postpartum are older age, pregestational and gestational hypertension, preeclampsia/eclampsia, coagulopathies, and smoking

Type
Chapter
Information
Rare Causes of Stroke
A Handbook
, pp. 299 - 304
Publisher: Cambridge University Press
Print publication year: 2022

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References

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