Document Detail

Cerebrovascular complications during pregnancy and postpartum: clinical and prognosis observations in 240 Hispanic women.
MedLine Citation:
PMID:  21143339     Owner:  NLM     Status:  Publisher    
Background and purpose:  Although pregnancy and postpartum have long been associated with stroke, there is a dearth of information in Latino-American populations. The aim of this study was to describe the cerebrovascular complications occurring during pregnancy/postpartum and compare the characteristics amongst stroke types occurring in this period in Hispanic women. Patients and methods:  We studied 240 women with cerebrovascular complications during pregnancy and the first 5 weeks postpartum, from our stroke registry. Patients were classified into three groups: cerebral venous thrombosis (CVT), ischaemic stroke (IS), and intracerebral hemorrhage (ICH). For each group, clinical data, timing of the event, and outcome were analyzed. Results:  Of the 240 women, 136 had CVT (56.7%), 64 IS (26.7%), and 40 ICH (16.6%). In 72 women (30%), the event occurred during pregnancy, in 153 (64%) during postpartum, and in 15 (6%) closely related to labor. CVT was more common in the first trimester of pregnancy and in the second and third weeks following delivery; whilst IS and ICH were seen mainly during pregnancy and the first 2 weeks following delivery. Pre-eclampsia/eclampsia was more common in patients with ICH (57.5%) and IS (36%) than in those with CVT (9.6%) (P < 0.001). An excellent recovery (modified Rankin Scale: 0-1) was observed amongst women with CVT (64%) and IS (50%) compared to ICH (32%), (P = 0.004). Conclusions:  Pre-eclampsia/eclampsia is a frequent risk factor in patients with ICH and IS, but not in CVT. Stroke types clustered different within the pregnancy-postpartum period. A good prognosis is observed in patients with CVT.
C Cantu-Brito; A Arauz; Y Aburto; F Barinagarrementeria; J L Ruiz-Sandoval; J F Baizabal-Carvallo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-12-8
Journal Detail:
Title:  European journal of neurology : the official journal of the European Federation of Neurological Societies     Volume:  -     ISSN:  1468-1331     ISO Abbreviation:  -     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9506311     Medline TA:  Eur J Neurol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2010 The Author(s). European Journal of Neurology © 2010 EFNS.
Stroke Clinic, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán. Mexico City Stroke Clinic. Instituto Nacional de Neurología y Neurocirugía MVS. Mexico City Hospital Angeles, Querétaro Department of Neurology, Antiguo Hospital Civil de Guadalajara, Jalisco, Mexico Urgences Cerebrovasculaires. Groupe Hospitalier Pitié-Salpêtrière, Paris, France.
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