Razmara Ali, Bakhadirov Khamid, Batra Ayush, Feske Steven K
Fellow in Vascular Neurology, Massachusetts General and Brigham and Women's Hospitals, Boston, MA, USA,
Curr Cardiol Rep. 2014;16(10):532. doi: 10.1007/s11886-014-0532-1.
Cerebrovascular complications of pregnancy, though uncommon, threaten women with severe morbidity or death, and they are the main causes of major long-term disability associated with pregnancy. In this review, we discuss the epidemiology, pathophysiology, presentation and diagnosis, and management and outcomes of ischemic and hemorrhagic stroke and cerebral venous thrombosis. We also discuss the posterior reversible encephalopathy syndrome, the reversible cerebral vasoconstriction syndrome including postpartum cerebral angiopathy, and their relationship as overlapping manifestations of pre-eclampsia-eclampsia.
妊娠脑血管并发症虽不常见,但会威胁到女性的严重发病或死亡,并且是与妊娠相关的主要长期残疾的主要原因。在本综述中,我们讨论缺血性和出血性中风以及脑静脉血栓形成的流行病学、病理生理学、临床表现与诊断、管理及预后。我们还讨论了后部可逆性脑病综合征、包括产后脑血管病在内的可逆性脑血管收缩综合征,以及它们作为子痫前期 - 子痫重叠表现的关系。