• Best Pract Res Clin Obstet Gynaecol · Dec 2013

    Review

    Neurological disorders.

    • Bernhard Haider and Joachim von Oertzen.
    • Department of Neurology, Wagner-Jauregg Neuroscience Centre, Wagner-Jauregg-Weg 15, 4020 Linz, Austria.
    • Best Pract Res Clin Obstet Gynaecol. 2013 Dec 1;27(6):867-75.

    AbstractNeurological conditions during pregnancy can be pregnancy related or can be caused by exacerbation of pre-existing neurological disorders. Knowledge of pre-existing epilepsy or myasthenia gravis in women of childbearing age requires preconception counselling by neurologist and planned pregnancy. Possible adverse effects of medication on the foetus should be balanced with the risk of uncontrolled symptoms. Interdisciplinary management before, during and after pregnancy is recommended. New acute neurological symptoms in pregnant or postpartum women should lead to an urgent neurological review. Patients need a thorough diagnostic evaluation that targets a range of serious pathological conditions that are either unique to (e.g. eclampsia) or arise more frequently (e.g. cerebral venous thrombosis) in this population. Most of these conditions are infrequent and require a specialized and multidisciplinary management. Treatment is challenging due to risks to the unborn child.Copyright © 2013 Elsevier Ltd. All rights reserved.

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