Neurological Disorders and Pregnancy

Neurological Disorders and Pregnancy

by Alireza Minagar
     
 

ISBN-10: 012384911X

ISBN-13: 9780123849113

Pub. Date: 12/23/2010

Publisher: Elsevier Science

Timely diagnosis and management of neurological diseases during pregnancy poses major therapeutic challenges to neurologists and other non-neurologist health care providers. Pregnancy is a unique period in life associated with significant hormonal and other physiologic changes in female patients, which may trigger or alter the course of neurological and psychiatric

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Overview

Timely diagnosis and management of neurological diseases during pregnancy poses major therapeutic challenges to neurologists and other non-neurologist health care providers. Pregnancy is a unique period in life associated with significant hormonal and other physiologic changes in female patients, which may trigger or alter the course of neurological and psychiatric disorders. In addition, many diagnostic proceduresthat can be performed in non-pregnant women are prohibited during pregnancy for safety reasons. Therapeutic decisions and management of a pregnant patient with neurological disorders heavily depends on the issue of the reasonable balance between the risks of no treatment versus active treatment for the mother and her fetus.

This book provides a review of the latest findings in this field,giving the neurologist and non-neurologist the information they need to determine the best treatment. Neurological disorders covered include multiple sclerosis, stroke and epilepsy.

  • Discusses how neurological disorders shouldbemanagedin a pregnant patient
  • Includes contributions from leading authorities
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    Product Details

    ISBN-13:
    9780123849113
    Publisher:
    Elsevier Science
    Publication date:
    12/23/2010
    Pages:
    218
    Product dimensions:
    6.00(w) x 9.10(h) x 0.90(d)

    Related Subjects

    Table of Contents

    Preface ix

    Contributors xi

    1 Pregnancy and Multiple Sclerosis Laura Airas Masoud Etemadifar Amir-Hadi Maghzi 1

    Introduction 1

    How Pregnancy Affects the Disease Activity 2

    Pregnancy Outcome Among MS Mothers 3

    Treatment of MS Mothers During Pregnancy and Lactation 4

    Immunologic Basis of Pregnancy-Induced Disease Remission 6

    Conclusion 8

    2 Headache in Pregnancy Debra Elliott Xiangping Li Peimin Zhu Emil Gaitour 13

    Introduction 13

    Epidemiology of Headache in Pregnancy 13

    Pathophysiology of Primary Headache During Pregnancy 18

    Management of Primary Headache in Pregnancy 22

    Pharmacologic Treatments 25

    Secondary Headaches and Their Management 32

    Conclusion 44

    3 Myasthenia Gravis and Pregnancy Fernanda Campos da Silva Luciana Carneiro do Cima Renato Augusto Moreira de Sá 55

    Introduction 55

    Clinical Features 55

    Diagnosis 56

    General Aspects of Preconception Care 57

    Effect of Preganancy on MG 57

    Effect of MG in Pregnancy 58

    Treatment 60

    Labor and Delivery 63

    Effects on the Fetus and Neonate 65

    4 Postpartum Angiopathy and Related Disorders Jennifer E. Fugate Alejandro A. Rabinstein 69

    Background and Context 69

    Postpartum Angiopathy 69

    5 Neurology of Pre-eclampsia and Eclampsia Roger E. Kelley Maike Tiede Blaya Patricia Colon 79

    Pathophysiology 79

    Neurologic Manifestations of Pre-eclampsia/Eclampsia 80

    Cerebrovascular Disease 82

    Epilepsy 85

    Neurobehavioral Aspects of Pre-eclampsia/Eclampsia 87

    6 Epilepsy and Pregnancy John W. Kevill Eduardo Gonzalez-Toledo 91

    Introduction 91

    History 92

    Fertility and Epilepsy 94

    Contraception and Epilepsy 96

    The Effect of Pregnancy on Epilepsy 97

    The Effects of Epilepsy on Pregnancy 100

    Eclampsia 101

    Effects of Maternal Seizures on the Developing Fetus 107

    Effects of Epilepsy Treatment on the Developing Fetus 108

    Evaluation of a First Seizure in a Pregnant Patient 110

    Summary 114

    7 Movement Disorders and Pregnancy Natalya Shneyder Aimee Borazanci Aronkumar Reddy Emil Gaitour Alireza Minagar Stephen L. Jaffe 123

    Introduction 123

    Parkinson's Disease 123

    Chorea Gravidarum 125

    Huntington's Disease 126

    Dystonia 126

    Essential Tremor 127

    Wilson's Disease 128

    Restless Legs Syndrome 129

    Tourette's Syndrome 129

    Conclusions 130

    8 Psychiatric Disorders and Pregnancy Nadejda Alekseeva Rita Horton Felix Geller Jeanie McGee Alireza Minagar 135

    Introduction 135

    Schizophrenia and Pregnancy 135

    Course of Schizophrenia During Pregnancy and Postpartum 137

    Antipsychotic Medications and Pregnancy 138

    BPD and Pregnancy 143

    Postpartum Depression 145

    Anxiety Disorders and Pregnancy 147

    Eating Disorders and Pregnancy 151

    Conclusion 152

    9 Neuromuscular Diseases in Pregnancy Kourosh Rezania 159

    Pathophysiology 159

    Neuromuscular Diseases that Result from Pregnancy, Labor, and the Postpartum Period 161

    Muscle Cramps 166

    Pregnancy and Underlying Neuromuscular Disease 166

    Inflammatory Neuropathies 167

    Hereditary Neuropathies 169

    Autoimmune Inflammatory Myopathies 170

    Hereditary Myopathies 171

    Motor Neuron Diseases 175

    10 Sleep Disorders and Pregnancy Ahmet Ursavas 185

    Regular Sleep Duration and Pattern in Pregnancy 185

    Sleep Deprivation in Pregnancy 186

    Sleep-Disordered Breathing in Pregnancy 188

    Other Sleep Disorders in Pregnancy 197

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