Migraine during pregnancy and in the puerperium

Allais, Gianni; Chiarle, Giulia; Sinigaglia, Silvia; Mana, Ornella; Benedetto, Chiara

doi:10.1007/s10072-019-03792-9

Cited by 42 publications

(50 citation statements)

References 100 publications

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“…In conclusion, hypercoagulability is common both in migraine and pregnancy. Hence, cerebrovascular disorders such as venous thromboembolism and ischemic or hemorrhagic strokes demand attention for timely management in order to reduce complications [4].…”

Section: Discussionmentioning

confidence: 99%

“…Migraine often improves spontaneously during the second or third trimester of pregnancy but may also Dubai Med J 2021;4:60-63 DOI: 10.1159/000510884 worsen. The reduction in migraine attacks during pregnancy can be attributed to the increased levels of estrogen and endogenous opioid that raise the threshold of pain and prevent hormonal fluctuations [4]. After childbirth, migraine relapse may occur, especially in the initial month, probably due to the fall in the estrogen level, postpartum depression, or new parental roles [6].…”

Section: Introductionmentioning

confidence: 99%

“…Women are more prone to develop migraine, with an incidence of 18% compared to 6% incidence among men [4]. This rise in the occurrence of migraine in women occurs in their fertile/childbearing years.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An Unusual Case of Migraine Preconception and Severe Postpartum Headache and Intracranial Hemorrhage

Fatima¹,

Salman²,

Hamza³

et al. 2020

Dubai Med J

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Migraine affects many women in their childbearing years and gets worse during pregnancy, probably due to fluctuations in reproductive hormones. Similar changes in maternal physiology due to pregnancy increase the susceptibility toward secondary headache disorders and can cause the return of migraines in the postpartum period. Increased occurrence of headaches is also associated with the administration of epidural anesthesia, which decreases cerebrospinal fluid pressure. However, the less common causes such as secondary headache disorders related to cerebrovascular disorders and hypertension should be considered for differential diagnosis in this group of patients. In this case report, we discuss the case history of a 36-year-old woman, with a past history of migraine without aura, who presented at 1 week postpartum with headache, confusion, dizziness, right-sided weakness, and urinary incontinence. Brain imaging studies revealed global hypoxic ischemic injury to the brain. This case report discusses her presentation, investigations, management, and etiology of migraine, leading to stroke and death postpartum.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

An Unusual Case of Migraine Preconception and Severe Postpartum Headache and Intracranial Hemorrhage

Fatima¹,

Salman²,

Hamza³

et al. 2020

Dubai Med J

View full text Add to dashboard Cite

show abstract

“…Managing these headaches during pregnancy and postpartum is similar to its management in none pregnant women, with a few exceptions [ 5 ]. Secondary headaches might begin during pregnancy, and can be due to vasculitis, idiopathic intracranial hypertension, pituitary and brain tumor, arteriovenous malformation, CVST, stroke, subarachnoid hemorrhage, pre-eclampsia and eclampsia [ 5 - 7 ]. In this study, the most common underlying causes of secondary headaches were infections and preeclampsia.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Neurological Complaints during Pregnancy and Postpartum

Zafarmand

Javanmardi

Ameri

et al. 2019

GMJ

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Background: Pregnancy and postpartum are critical periods for patients with neurological complications. In this study, we aimed to evaluate the clinical characteristics and outcome of pregnant women with neurological conditions. Materials and Methods: This cross-sectional study reviewed pregnant women with neurological signs and symptoms, who were registered in the Medical Care Monitoring Center (MCMC) database of Shiraz University of Medical Sciences 2013-15. A questionnaire was designed to record each patient’s information including demographic variables, past medical history, clinical presentation, obstetric profile, and fetal/maternal outcomes. Results: Totally, 332 mothers were registered in the database. The main neurological complaints in our population were headache, seizure, unilateral neurological symptoms, multiple sclerosis, neuromuscular disorder, and brain tumor. More than half of the patients (54%) experienced headache during the pregnancy and postpartum period. Conclusion: Evaluating the neurological disorders separately, based on the time of symptom onset indicates the importance of follow-up of mothers during peripartum. Our findings suggest that decisions for pregnancy in women with neurological disorders should be based on risks outweighing for the mother and the fetus, particularly regarding the pharmacological side effects. [GMJ.2019;8:e1616]

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“…Less-frequently reported factors associated with a higher risk for PE are maternal dyslipidemia, sleep-disordered breathing, (worsening) migraine, and the intake of certain foods, minerals, and vitamins [ 18 , 19 , 20 , 21 , 22 , 23 ]. It is unclear whether these factors act independently or as confounders of an underlying predisposition to cardiovascular disease [ 24 ].…”

Section: Introductionmentioning

confidence: 99%

Preeclampsia Is a Syndrome with a Cascade of Pathophysiologic Events

Gyselaers

2020

JCM

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This review integrates the currently available information on the molecular, cellular, and systemic mechanisms involved in the pathophysiology of preeclampsia. It highlights that the growth, protection, and promotion of the conceptus requires the modulation of an intact maternal immune system, communication between the mother and fetus, and adaptation of the maternal organic functions. A malfunction in any of these factors, on either side, will result in a failure of the cascade of events required for the normal course of pregnancy. Maladaptive processes, initially aiming to protect the conceptus, fail to anticipate the gradually increasing cardiovascular volume load during the course of pregnancy. As a result, multiple organ dysfunctions install progressively and eventually reach a state where mother and/or fetus are at risk of severe morbidity or even mortality, and where the termination of pregnancy becomes the least harmful solution. The helicopter view on pathophysiologic processes associated with preeclampsia, as presented in this paper, illustrates that the etiology of preeclampsia cannot be reduced to one single mechanism, but is to be considered a cascade of consecutive events, fundamentally not unique to pregnancy.

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Migraine during pregnancy and in the puerperium

Cited by 42 publications

References 100 publications

An Unusual Case of Migraine Preconception and Severe Postpartum Headache and Intracranial Hemorrhage

An Unusual Case of Migraine Preconception and Severe Postpartum Headache and Intracranial Hemorrhage

Evaluation of the Neurological Complaints during Pregnancy and Postpartum

Preeclampsia Is a Syndrome with a Cascade of Pathophysiologic Events

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