Stroke and pregnancy

Awada, A.; Rajeh, Saad Al; Duarte, R.; Russell, Nóirín

doi:10.1016/0020-7292(94)02281-3

Cited by 30 publications

(20 citation statements)

References 23 publications

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“…According to this figure, pregnancy appeared to increase the risk of stroke by a factor of 1.5 [22]. Peripartum cardiomyopathy, a patent foramen ovale, changes in clotting factors and the influence of pregnancy on vascular malformations are factors that could be responsible for this increased risk.…”

Section: Stroke In Selected Populationsmentioning

confidence: 99%

Stroke in Saudi Arabia

Rajeh

Awada

2002

Cerebrovasc Dis

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In this review, the authors summarize 10 years of work on stroke in Saudi Arabia that has led to more than 25 publications. The incidence and prevalence of strokes were low when compared to those reported from Western countries, but this was mainly due to the younger age of the population. The overall distribution of stroke types was not different from that reported in other communities, with the exception of the low incidence of subarachnoid hemorrhage. However, the relatively high frequency of strokes in the young and strokes related to small artery disease, i.e. lacunar infarcts and cerebral hemorrhage, and the high prevalence of diabetes mellitus as a risk factor were quite distinctive. On the other hand, extracranial large artery disease was quite rare. Undetected and untreated hypertension and a low frequency of cigarette smoking in the stroke-prone age group could be one explanation of these findings.

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Section: Stroke In Selected Populationsmentioning

confidence: 99%

Stroke in Saudi Arabia

Rajeh

Awada

2002

Cerebrovasc Dis

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“…Less than 30% of the cases have simultaneous dissections of two or more vessels, for which an underlying connective tissue disorder should be suspected [17, 18, 31]. …”

Section: Discussionmentioning

confidence: 99%

Atypical Postpartum Stroke Presenting as Opalski Syndrome: Case Report and Review of the Literature

Levy¹,

Levy²,

Maimon³

2011

Case Rep Neurol

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Background and Purpose: We present the first case of combined arterial (vertebral artery dissection) and venous [central sinus vein thrombosis (CSVT)] diseases presenting as Opalski syndrome in a female patient following induced delivery. Case Description: A 32-year-old woman was admitted to our institute two weeks after induced delivery with intriguing neurological findings that were finally diagnosed as a combined venous-arterial disease. Although she was referred diagnosed with CSVT, her neurological findings indicated Wallenberg ‘plus’ syndrome with ipsilateral hemiparesis (Opalski syndrome), further confirmed by neuroimaging revealing arterial disease (vertebral artery dissection) combined with incidental acute CSVT. Coagulation, gynecological and cardiac problems were ruled out. Treatment consisted of continuous heparin with rigorous control of her blood pressure. Nine days later, the patient was discharged with prominent improvements. Most of the symptoms resolved following 3 months of rehabilitation. Conclusions: Atypical strokes (such as Opalski syndrome) might present in postpartum patients. This rare diagnosis should be suspected in patients with Wallenberg ‘plus’ syndrome, and neuroimaging studies for determining the presence of arterial disease and brain stem lesions should be performed. Concomitant CSVT is rare and might mislead. Fine diagnosis followed by immediate conservative treatment can be of great benefit.

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“…1,3,4,[6][7][8][9][10][11] Epidemiological data across studies is difficult to compare due to variations in sample size, study design and definitions of patient subgroups (e.g. 2 Risk factors for specific types of CVD are included in this table if provided in the particular study. This likely accounts for the wide range of incidence reported (Table 1).…”

Section: Epidemiologymentioning

confidence: 99%

“…1,2 The reported incidence of stroke in pregnancy ranges from 0.01%-0.05%. 1,2 The reported incidence of stroke in pregnancy ranges from 0.01%-0.05%.…”

Section: Introductionmentioning

confidence: 99%

Cerebrovascular Disease and Pregnancy

Katz

Lesko²,

Kirchoff-Torres

et al. 2010

Fet. Matern. Med. Rev.

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Approximately 12%–27% of cerebrovascular disease in women of childbearing age is associated with pregnancy. The reported incidence of stroke in pregnancy ranges from 0.01%–0.05%. While these events are uncommon, they are often clinically devastating. The Center for Disease Control's (CDC) review of death certificates in all 50 states and the District of Columbia found that neurologic or neurovascular problems are one of the leading causes of mortality in pregnancy.

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Stroke and pregnancy

Cited by 30 publications

References 23 publications

Stroke in Saudi Arabia

Stroke in Saudi Arabia

Atypical Postpartum Stroke Presenting as Opalski Syndrome: Case Report and Review of the Literature

Cerebrovascular Disease and Pregnancy

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