Stroke and Pregnancy

被引:21
作者
Tettenborn, Barbara [1 ,2 ]
机构
[1] Kantonsspital St Gallen, Dept Neurol, CH-9007 St Gallen, Switzerland
[2] Johannes Gutenberg Univ Mainz, D-55131 Mainz, Germany
关键词
Cerebrovascular disease; Stroke; Pregnancy; Puerperium; Hemorrhage; Cerebral ischemia; ACUTE ISCHEMIC-STROKE; RISK-FACTORS; PUERPERIUM; WOMEN; PREVENTION; ASPIRIN; CHORIOCARCINOMA; PREECLAMPSIA; THROMBOSIS; THERAPY;
D O I
10.1016/j.ncl.2012.06.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Strategies for stroke prevention should take into account the competing risks to mother and fetus. Treatment of acute stroke in pregnant women is still controversial, but not strictly contraindicated. Several case reports have documented successful reperfusion, in addition to satisfactory maternal and fetal outcomes. Aspirin and warfarin are safe in the second and third trimesters. There are no trials of anticoagulation or antiplatelet therapies of stroke prevention in pregnancy.
引用
收藏
页码:913 / +
页数:14
相关论文
共 37 条
[21]   Aspirin consumption during the first trimester of pregnancy and congenital anomalies: A meta-analysis [J].
Kozer, E ;
Nikfar, S ;
Costei, A ;
Boskovic, R ;
Nulman, I ;
Koren, G .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2002, 187 (06) :1623-1630
[22]   Trends in Pregnancy Hospitalizations That Included a Stroke in the United States From 1994 to 2007 Reasons for Concern? [J].
Kuklina, Elena V. ;
Tong, Xin ;
Bansil, Pooja ;
George, Mary G. ;
Callaghan, William M. .
STROKE, 2011, 42 (09) :2564-2570
[23]   Risk factors for peripartum and postpartum stroke and intracranial venous thrombosis [J].
Lanska, DJ ;
Kryscio, RJ .
STROKE, 2000, 31 (06) :1274-1282
[24]   Obstetric MRI [J].
Levine, Deborah .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2006, 24 (01) :1-15
[25]   Stroke complicating pregnancy and the puerperium [J].
Liang, C. -C. ;
Chang, S. -D. ;
Lai, S. -L. ;
Hsieh, C. -C. ;
Chueh, H. -Y. ;
Lee, T. -H. .
EUROPEAN JOURNAL OF NEUROLOGY, 2006, 13 (11) :1256-1260
[26]  
Morales-Vidal S, 2011, WOMENS HEALTH, V7, P283, DOI [10.2217/whe.11.27, 10.2217/WHE.11.27]
[27]   Thrombolytic therapy of acute ischemic stroke during pregnancy [J].
Murugappan, A ;
Coplin, WM ;
Al-Sadat, AN ;
McAllen, KJ ;
Schwamm, LH ;
Wechsler, LR ;
Kidwell, CS ;
Saver, JL ;
Starkman, S ;
Gobin, YP ;
Duckwiler, G ;
Krueger, M ;
Rordorf, G ;
Broderick, JP ;
Tietjen, GE ;
Levine, SR .
NEUROLOGY, 2006, 66 (05) :768-770
[28]   Pregnancy and stroke [J].
Mohammed Pathan ;
Steven J. Kittner .
Current Neurology and Neuroscience Reports, 2003, 3 (1) :27-31
[29]   MR procedures: Biologic effects, safety, and patient care [J].
Shellock, FG ;
Crues, JV .
RADIOLOGY, 2004, 232 (03) :635-652
[30]  
Sidorov EV, 2011, EXPERT REV CARDIOVAS, V9, P1235, DOI [10.1586/erc.11.98, 10.1586/ERC.11.98]