Pregnancy and Childbirth
A. Neurological complications of pregnancy
1. Cerebral hemorrhage: The risk increases with each trimester.
a. Causes: AVMs and aneurysms are most common; also DIC, anticoagulants, placental abruption, mycotic aneurysm, metastatic choriocarcinoma, and eclampsia.
b. Rx: Hyperventilation, hypothermia, and steroids are safe; try to avoid mannitol. Surgery is based on same criteria as nonpregnant pts.
2. Cerebral infarction: About 1 in 3,000 pregnancies. 70% are arterial occlusion, 30% secondary to cerebral venous thrombosis.
3. Cerebral venous thrombosis.
4. Chorea gravidarumRelated posts:
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