scholarly journals Ischemic Stroke during Pregnancy and Puerperium

2011 ◽  
Vol 2011 ◽  
pp. 1-13 ◽  
Author(s):  
Elisabetta Del Zotto ◽  
Alessia Giossi ◽  
Irene Volonghi ◽  
Paolo Costa ◽  
Alessandro Padovani ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Stressful Event ◽  
Conservative Approach ◽  
Rare Occurrence ◽  
Physiological Adaptations ◽  
Stroke In The Young ◽  
Potential Risks ◽  
Postpartum Cerebral Angiopathy ◽  
Pregnant State ◽  
Cerebral Angiopathy

Ischemic stroke during pregnancy and puerperium represents a rare occurrence but it could be a serious and stressful event for mothers, infants, and also families. Whenever it does occur, many concerns arise about the safety of the mother and the fetus in relation to common diagnostic tests and therapies leading to a more conservative approach. The physiological adaptations in the cardiovascular system and in the coagulability that accompany the pregnant state, which are more significant around delivery and in the postpartum period, likely contribute to increasing the risk of an ischemic stroke. Most of the causes of an ischemic stroke in the young may also occur in pregnant patients. Despite this, there are specific conditions related to pregnancy which may be considered when assessing this particular group of patients such as pre-eclampsia-eclampsia, choriocarcinoma, peripartum cardiomiopathy, amniotic fluid embolization, and postpartum cerebral angiopathy. This article will consider several questions related to pregnancy-associated ischemic stroke, dwelling on epidemiological and specific etiological aspects, diagnostic issue concerning the use of neuroimaging, and the related potential risks to the embryo and fetus. Therapeutic issues surrounding the use of anticoagulant and antiplatelets agents will be discussed along with the few available reports regarding the use of thrombolytic therapy during pregnancy.

Postpartum cerebral angiopathy presenting with non-aneurysmal subarachnoid hemorrhage

2011 ◽  
Vol 18 (9) ◽  
pp. 1269-1271 ◽  
Author(s):  
Seo-Young Lee ◽  
Seung Hun Sheen ◽  
Seung Hwan Lee ◽  
Sam Soo Kim ◽  
Chung Hyo Kim ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
Postpartum Cerebral Angiopathy ◽  
Cerebral Angiopathy

Basilar artery vasospasm in postpartum cerebral angiopathy

Neurology ◽  
2000 ◽  
Vol 54 (10) ◽  
pp. 2003-2005 ◽  
Author(s):  
K. Y. Lee ◽  
Y. H. Sohn ◽  
S. H. Kim ◽  
I.-N. Sunwoo
Keyword(s):  
Basilar Artery ◽  
Postpartum Cerebral Angiopathy ◽  
Cerebral Angiopathy

scholarly journals Curious case of corpus callosal hematoma in a normotensive post-partum female patient: a case report of reversible post-partum angiopathy with clinico-radiological correlation

2018 ◽  
Vol 7 (8) ◽  
pp. 3413
Author(s):  
Gaurav Chauhan ◽  
Vivek Singh ◽  
R. V. Phadke ◽  
Sapna Yadav ◽  
Abhishek Gupta
Keyword(s):  
Case Report ◽  
Mr Angiography ◽  
Post Partum ◽  
Disease Process ◽  
Neurological Deficits ◽  
Catheter Angiography ◽  
Postpartum Cerebral Angiopathy ◽  
Vascular Spasm ◽  
Cerebral Angiopathy

Postpartum cerebral angiopathy (PCA) is a rare cause of stroke in the puerperium. It usually presents with episodes of headache, seizures and neurological deficits in early post-partum period in normotensive females. CT, MRI and catheter angiography may demonstrate segmental vasoconstriction that often resolves spontaneously. PPA is generally regarded as a benign, non-relapsing and reversible disease process. We present a clinico-radiological correlative case of isolated corpus callosal hematoma in a post-partum normotensive female with evidence of intracranial vascular spasm and luminal irregularity on CT and catheter angiography. Follow up MR angiography showed resolution of the vasospasm and luminal irregularity. Patient was managed conservatively and showed resolution of the symptoms in follow up visit on 8th week. 

A fatal case of postpartum cerebral angiopathy with literature review

2006 ◽  
Vol 275 (1) ◽  
pp. 67-77 ◽  
Author(s):  
Timothy L. Williams ◽  
Timothy G. Lukovits ◽  
Brent T. Harris ◽  
C. Harker Rhodes
Keyword(s):  
Literature Review ◽  
Fatal Case ◽  
Postpartum Cerebral Angiopathy ◽  
Cerebral Angiopathy

The Rising Trend of Ischemic Stroke in the Young

2012 ◽  
Vol 12 (7) ◽  
pp. 27-27
Author(s):  
R. Buckley ◽  
M. N. Nguyen-Huynh
Keyword(s):  
Ischemic Stroke ◽  
Stroke In The Young

Risk factor profile by etiological subtype of ischemic stroke in the young

2014 ◽  
Vol 120 ◽  
pp. 78-83 ◽  
Author(s):  
Aude Jaffre ◽  
Jean Bernard Ruidavets ◽  
Lionel Calviere ◽  
Alain Viguier ◽  
Jean Ferrieres ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Risk Factor Profile ◽  
Stroke In The Young

scholarly journals Ischemic stroke following abuse of Marijuana in a Nigerian adult male

2014 ◽  
Vol 05 (04) ◽  
pp. 417-419 ◽  
Author(s):  
Olalekan Oyinloye ◽  
Donald Nzeh ◽  
Ayodeji Yusuf ◽  
Emmanuel Sanya
Keyword(s):  
Young Adults ◽  
Ischemic Stroke ◽  
Basal Ganglia ◽  
Illicit Drugs ◽  
Cerebral Arteries ◽  
Cannabis Abuse ◽  
The Past ◽  
Middle Cerebral Arteries ◽  
Stroke In The Young ◽  
The Brain

ABSTRACTCannabis is the most widely used illicit drug among adolescents and young adults. Despite its widespread use, only a few reports exist on the association of cannabis use and stroke. A 26-year-old Nigerian male, developed right-sided ischemic stroke few hours after smoking three wraps of cannabis. He had smoked cannabis consistently for the past 4 years prior to the development of the stroke. Known stroke etiology and abuse of other illicit drugs were ruled out from history and investigations. Neuroimaging studies of the brain revealed infarcts in basal ganglia secondary to occlusion of blood flow in the left anterior and middle cerebral arteries. The mechanism of stroke in this patient was thought to be a cannabis-induced vasculopathy. Many cases of stroke in the young are increasingly being seen in hospitals in resource scarce countries. There seems to be a predilection for the basal ganglia in ischemic stroke following cannabis abuse. Therefore, cannabis abuse should be considered in young adults with basal ganglia infarcts, after excluding other known etiologies.

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