Imaging of Neurologic Disorders in Pregnancy

Jamieson, Dara G.; McVige, Jennifer

doi:10.1016/j.ncl.2019.09.001

Cited by 4 publications

(2 citation statements)

References 91 publications

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“…When it is determined that imaging for secondary causes of headache is warranted, magnetic resonance imaging (MRI) or computerized tomography (CT) may be appropriate as dictated by clinical suspicion of underlying etiology, as well as availability of imaging resources (57). Magnetic resonance imaging is often the preferred imaging modality during pregnancy, and the use of radiation and contrast should be avoided unless the benefits outweigh the risks (58)(59)(60). ACOG suggests evaluation of headaches in pregnancy that warrant brain or vascular imaging with magnetic resonance techniques that limit the use of gadolinium (54,(59)(60)(61)(62).…”

Section: Evaluation Of Primary and Secondary Headachesmentioning

confidence: 99%

Headaches in Pregnancy and Postpartum

2022

Obstetrics &Amp; Gynecology

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PURPOSE:To provide updated evidence-based recommendations for the evaluation and treatment of primary and secondary headaches in pregnancy and postpartum.TARGET POPULATION:Pregnant and postpartum patients with a history of or experiencing primary or new secondary headaches.METHODS:This guideline was developed using an a priori protocol in conjunction with a writing team consisting of two specialists in obstetrics and gynecology appointed by the ACOG Committee on Clinical Practice Guidelines–Obstetrics and one external subject matter expert. ACOG medical librarians completed a comprehensive literature search for primary literature within Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. Studies that moved forward to the full-text screening stage were assessed by two authors from the writing team based on standardized inclusion and exclusion criteria. Included studies underwent quality assessment, and a modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) evidence-to-decision framework was applied to interpret and translate the evidence into recommendation statements.RECOMMENDATIONS:This Clinical Practice Guideline includes recommendations on interventions to prevent primary headache in individuals who are pregnant or attempting to become pregnant, postpartum, or breastfeeding; evaluation for symptomatic patients presenting with primary and secondary headaches during pregnancy; and treatment options for primary and secondary headaches during pregnancy and lactation. Recommendations are classified by strength and evidence quality. Ungraded Good Practice Points are included to provide guidance when a formal recommendation could not be made because of inadequate or nonexistent evidence.

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Section: Evaluation Of Primary and Secondary Headachesmentioning

confidence: 99%

Headaches in Pregnancy and Postpartum

2022

Obstetrics &Amp; Gynecology

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“…Some dangerous secondary headaches (for example, sinus thrombosis, pituitary apoplexy, and posterior reversible encephalopathy syndrome) may occur in pregnancy and require specialist imaging to exclude. 2 Pre-eclampsia/ eclampsia may often result in headache and is frequently associated with hypertension, proteinuria, deranged liver function tests, and thrombocytopenia. Patients with 'red flags' (Box 1) require urgent referral to secondary care.…”

Section: Secondary Headaches: Red Flags and When To Refermentioning

confidence: 99%

Headache in pregnancy: a brief practical guide

2022

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Headaches are a common neurological presentation during pregnancy. Though the majority of headaches pregnant women experience (for example, migraine and tension-type headache) can be managed in primary care, some headaches, especially when associated with other neurological or visual symptoms, require urgent investigation to exclude more sinister causes. This article provides a practical guide to headache management with a focus on when to refer to secondary care and what medication is safe during pregnancy and breastfeeding.

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