Abstract
Neurological disease encompasses a broad spectrum of conditions which may be affected
by pregnancy, present de novo in pregnancy, or are caused by the pregnancy itself. Neurological diseases remain
the second most common cause of indirect maternal deaths in the UK. It is imperative
that a thorough history and examination are performed when assessing pregnant women
presenting with neurological conditions, and that early specialist advice is sought.
Multidisciplinary team working is also integral when caring for these women. These
points are highlighted with the aid of case studies, with a particular focus on epilepsy,
headaches, stroke, multiple sclerosis and myasthenia gravis in pregnancy.
Keywords
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Further reading
- Management of stroke and pregnancy.Eur Stroke J. 2018; 3: 227-236
- UK consensus on pregnancy in multiple sclerosis: ‘Association of British Neurologists’ guidelines.Pract Neurol. 2019; 19: 106-114
- Epilepsy medicines and pregnancy.MHRA, 2021www.gov.uk/government/publications/epilepsy-medicines-and-pregnancyDate accessed: September 28, 2021
- Myasthenia in pregnancy: best practice guidelines from a U.K. multispecialty working group.J Neurol Neurosurg Psychiatry. 2014; 85: 538-543
- Acute Care Toolkit 15: managing acute medical problems in pregnancy.RCP, 2019www.rcplondon.ac.uk/guidelines-policy/acute-care-toolkit-15-managing-acute-medical-problems-in-pregnancyDate accessed: September 14, 2021
Article info
Publication history
Published online: December 02, 2021
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Copyright
© 2021 Elsevier Ltd. All rights reserved.