Pregnancy-Induced Acute Neurologic Emergencies and Neurologic Conditions Encountered in Pregnancy

Alvis, Jeffrey S.; Hicks, Richard J.

doi:10.1053/j.sult.2011.09.002

Cited by 16 publications

(7 citation statements)

References 29 publications

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“…Acquired risks factors include all the usual causes of VTE and additionally causes such as brain tumors,[18] head trauma,[19] central nervous system infections (bacterial meningitis, cerebral malaria,[20212223] intracranial hypotension,[242526272829] any local head infection,[2] extracerebral neoplasias,[3031] dural fistulas,[32] hematological conditions,[3334353637] nephrotic syndrome,[38394041] systemic vasculitis,[424344] medicaments (cisplatin,[45] methotrexate,[46] steroids), neurological surgery, lumbar puncture,[47484950] pregnancy,[151525354] Puerperium. [35556] The Table 1 summarizes the risk factors associated to CSVT.…”

Section: Causes and Risk Factorsmentioning

confidence: 99%

Cerebral sinus venous thrombosis

Alvis-Miranda¹,

Castellar-Leones²,

Alcalá-Cerra

et al. 2013

Journal of Neurosciences in Rural Practice

110

129

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Cerebral sinus venous thrombosis (CSVT) is a rare phenomenon that can be seen with some frequency in young patients. CSVT is a multifactorial condition with gender-related specific causes, with a wide clinical presentation, the leading causes differ between developed and developing countries, converting CSVT in a condition characterized by a highly variable clinical spectra, difficult diagnosis, variable etiologies and prognosis that requires fine medical skills and a high suspicious index. Patients who presents with CSVT should underwent to CT-scan venography (CVT) and to the proper inquiry of the generating cause. This disease can affect the cerebral venous drainage and related anatomical structure. The symptoms may appear in relation to increased intracranial pressure imitating a pseudotumorcerebri. Prognosis depends on the early detection. Correcting the cause, generally the complications can be prevented. Mortality trends have diminished, and with the new technologies, surely it will continue. This work aims to review current knowledge about CSVT including its pathogenesis, etiology, clinical manifestations, diagnosis, and treatment.

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Section: Causes and Risk Factorsmentioning

confidence: 99%

Cerebral sinus venous thrombosis

Alvis-Miranda¹,

Castellar-Leones²,

Alcalá-Cerra

et al. 2013

Journal of Neurosciences in Rural Practice

110

129

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“…Such neurosurgical emergencies during pregnancy can result in significant rates of maternal death, fetal loss, miscarriage, and disability in pregnant women. [ 3 , 8 , 12 , 13 , 19 , 31 , 39 ] Laviv et al . have reported that, overall, nonobstetric surgeries carry an increased relative risk of 2.1 for neonatal death and 2.0 for infant death, between 1 month and 1 year following surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of brain tumors in pregnant women ranges between 3.6/million and 3/100,000 while that of vascular lesions in pregnant women is 0.01–0.05%. [ 3 , 12 , 13 , 31 ]…”

Section: Discussionmentioning

confidence: 99%

Neurosurgical emergencies during pregnancy – Management dilemmas

Choudhary¹,

Mohan²,

Varsha³

et al. 2023

Surgical Neurology International

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Background: Neurosurgical emergencies in the obstetric setting pose considerable challenges. Decision-making involves deliberations on the gestational age, critical nature of the illness, timing of surgery, maternal positioning during neurosurgery, anesthesiologic strategies, monitoring of the pregnancy during surgery, and the mode of delivery. The present study discusses the management and ethical dilemmas encountered during the management of six obstetric patients with neurosurgical emergencies. Methods: A retrospective review of all neurosurgical operations performed between January 2016 and December 2022 were included in the study. Results: This study includes a series of six pregnant women who presented with neurosurgical emergencies, secondary to freshly diagnosed pathologies in the period 2016–2022. The mean maternal age was 31.33 years. Four of the six patients were in the third semester and two were in the second trimester. The underlying etiologies were as follows: spontaneous intracerebral hypertensive hemorrhage (1), obstructive hydrocephalus due to shunt malfunction (1), brain tumor (02), and compressive spinal cord myelopathy due to tumors (02). Three patients who were near term underwent lower cesarean section followed by emergency neurosurgical procedure in the same sitting. Two second trimester patients continued their pregnancy after the emergency neurosurgical operation. In one patient, in whom a brain tumor was diagnosed near term, underwent neurosurgery 1 week after successful cesarean section. All the six mothers and fetus recovered well, ex3cept two patients who have persisting residual deficits. Conclusion: Treatment of neurosurgical emergencies during pregnancy needs to be customized depending on the clinical condition of the pregnant woman, prognosis of the disease, gestational age and the status of the pregnancy. With careful planning, timely intervention, consultative decision making and it is possible to achieve the ultimate goal – which is to protect and safeguard the mother and preserve and deliver a viable fetus.

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“…Особенностью данного случая было сочетание симптомов поражения глазодвигательных нервов, атаксии и односторонней прозоплегии. Отмечено, что преэклампсия также служит фактором риска для развития паралича Белла в третьем триместре и послеродовом периоде у беременных и рожениц [12].…”

Section: Discussionunclassified

“…Не исключено, что случаи неблагоприятных исходов беременности у пациенток, перенесших СГБ, связаны с внутриутробным инфицированием плода [14]. Известно, что СГБ не оказывает тератогенного влияния на плод, а способ родоразрешения зависит от акушерских показаний [2,6,12]. Однако на выбор способа родоразрешения также влияет тот фактор, что у пациенток, переносящих СГБ во время беременности, в два раза чаще возникает необходимость применения искусственной вентиляции легких, чем у небеременных пациенток [6].…”

Section: Discussionunclassified

The case of Miller-Fisher syndrome in pregnancy

Bedenko

Анна²,

Соколова

et al. 2018

HERALD of North-Western State Medical University named after I.

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Miller-Fisher syndrome (MFS) — is rare form Guillain-Barre syndrome (GBS). The patient with signs of severe hyperemesis of gravidarum demonstarates development of Miller-Fisher syndrome in the second trimester of pregnancy. The morbidity is about 5–10%. It is considerable, that one third of pregnant patients need respiratory support in the period of disease. The article describes pathogenic treatment of Miller-Fisher syndrome in the aspect of potential risk for fetum and pregnant women.

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Pregnancy-Induced Acute Neurologic Emergencies and Neurologic Conditions Encountered in Pregnancy

Cited by 16 publications

References 29 publications

Cerebral sinus venous thrombosis

Cerebral sinus venous thrombosis

Neurosurgical emergencies during pregnancy – Management dilemmas

The case of Miller-Fisher syndrome in pregnancy

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