Hemorrhagic stroke and pregnancy


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Objective. To study the course of pregnancy and to optimize delivery in women with hemorrhagic stroke. Subjects and methods. Forty-one pregnant women aged 20 to 40 years with hemorrhagic stroke were followed up. Seven of them developed the stroke during this pregnancy. All the women underwent clinical examination, hemostatic study, computed tomography (CT), magnetic resonance imaging, and consultations by a neurologist, a neurosurgeon, and an anesthesiologist. Results. After the examination, a delivery plan was consultatively elaborated: 22 (53.7%) pregnant women delivered a baby via cesarean delivery, 19 (46.3%) had vaginal deliveries, including those that occurred with obstetrical forceps and fetal vacuum extraction in 2 (4.9%) and 6 (14.6%) cases, respectively. Conclusion. Forty-two babies (one twin) were born; 39 (92.8%) infants were satisfactorily discharged together with their mothers; 3 (7.2%) (two of the twin and another baby after a premature birth) were transferred to the second nursing step. There were no maternal and perinatal deaths.

全文:

受限制的访问

作者简介

Vladislav Krasnopolsky

Moscow Regional Research Institute of Obstetrics and Gynecology

Member of RAS, Director

Lydia Logutova

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: lidia_logutova@mail.ru
Doctor of Medicine, Professor, Deputy Director for Science

Ketevan Akhvlediani

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: akhketi@mail.ru
PhD, senior researcher of physiological obstetric department

Arina Travkina

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: arinamamba@mail.ru
post-graduate, department of physiological obstetric

Andrey Lubnin

Academician N.N. Burdenko Research Institute of Neurosurgery

Email: lubnin@nsi.ru
doctor of medical sciences, professor, head of the intensive care unit

Vasily Petrukhin

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: lakmoniiag@mail.ru
MD, professor, head of the obstetrical department of physiological

Pavel Vlasov

A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia

Email: vpn_neuro@mail.ru
Doctor of Medicine, Professor of Medical Faculty of Nervous Diseases

Andrey Melnikov

Moscow Regional Research Institute of Obstetrics and Gynecology

PhD, senior researcher of physiological obstetric department

Tatiana Budykina

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: budit@mail.ru
Doctor of Medicine, head of the clinical diagnostic laboratory

Tatyana Kovalenko

Moscow Regional Research Institute of Obstetrics and Gynecology

Email: zurik2668@yandex.ru
PhD, senior researcher of physiological obstetric department

参考

  1. Бакунц Г.О. Эндогенные факторы церебрального инсульта. М.: ГЭОТАР-Медиа; 2011. 360с. [Bakunts G.O. Endogenous factors of cerebral stroke. Moscow: GEOTAR-Media; 2011. 360 p. (in Russian)]
  2. Дзяк Л.А., Цуркаленко Е.С. Инсульт у молодых пациентов. Здоровье Украины. 2009; 5-1: 12-5. [Dzyak L.A., Tsurkalenko E.S. Stroke in young patients. Zdorovye Ukrainy. 2009; 5-1: 12-5. (in Russian)]
  3. Евтушенко C.K. От этиологии и подвидов инсультов у лиц молодого возраста - к их эффективному лечению и профилактике. В кн.: Актуальные направления в неврологии: сегодня и будущее. Материалы XII Международной конференции. 25-28 апреля 2010, Судак. 2010: 12-8. [Yevtushenko S.K. The etiology and subspecies of strokes in young people - to their effective treatment and prevention. Recent trends in neuroscience today and the future. Articles XII International Conference. April 25-28 2010, Sudak. 2010: 12-8. (in Russian)]
  4. Davie C.A., O’Brien P. Stroke and pregnancy. J. Neurol. Neurosurg. Psychiatry. 2008; 79(3): 240-5.
  5. Kuklina E.V., Tong X., Bansil P., George M.G., Callaghan W.M. Trends in pregnancy hospitalizations that included a stroke in the United States from 1994 to 2007: reasons for concern? Stroke. 2011; 42(9): 2564-70.
  6. Khan M., Wasay M. Haemorrhagic strokes in pregnancy and puerperium. Int. J. Stroke. 2013; 8(4): 265-72. см. №20, №23
  7. Ласков В.Б. Факторы риска, механизмы развития и виды инсульта при беременности. Возможности медикаментозной терапии. Неврология, нейропсихиатрия, психосоматика. 2013; 3: 71-7. [Laskov V.B. Risk factors, mechanisms of development and types of stroke during pregnancy. Possibilities of drug therapy. Nevrologiya, neyropsihiatriya, psihosomatika. 2013; (3): 71-7. (in Russian)]
  8. Астапенко А.В., Гончар И.А. Этиологические факторы инсульта при беременности. Медицинский журнал 2006; 1: 105-7. [Astapenko A.V. Gonchar I.A. Etiological factors of stroke during pregnancy. Meditsinskiy zhurnal. 2006; 1: 105-7. (in Russian)]
  9. James A.H., Bushnell C.D., Jamison M.G., Myers E.R. Incidence and risk factors for stroke in pregnancy and the puerperium. Obstet. Gynecol. 2005; 106(3): 509-16.
  10. Tang C.H., Wu C.S., Lee T.H., Hung S.T., Yang C.Y., Lee C.H., Chu P.H. Preeclampsia-eclampsia and the risk of stroke among peripartum in Taiwan. Stroke. 2009; 40(4): 1162-8.
  11. Moatti Z., Gupta M., Yadava R., Thamban S. A review of stroke and pregnancy: incidence, management and prevention. Eur. J. Obstet. Gynecol. Reprod. Biol. 2014; 181: 20-7.
  12. Saposnik G., Barinagarrementeria F., Brown R.D. Jr., Bushnell C.D., Cucc hiara B., Cushman M. et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011; 42(4): 1158-92.
  13. Munira Y., Sakinah Z., Zunaina E. Cerebral venous sinus thrombosis presenting with diplopia in pregnancy: a case report. J. Med. Case Rep. 2012; 6: 336.
  14. Treadwell S.D., Thanvi B., Robinson T.G. Stroke in pregnancy and the puerperium. Postgrad. Med. J. 2008; 84(991): 238-45.
  15. Takahashi J.C., Iihara K., Ishii A., Watanade E., Ikeda T., Miyamoto S. Pregnancy-associated intracranial hemorrhage: results of a survey of neurosurgical institutes across Japan. J. Stroke Cerebrovasc. Dis. 2014; 23(2): e65-71.
  16. Tate J., Bushnell C. Pregnancy and stroke risk in women. Womens Health (Lond. Engl.). 2011; 7(3): 363-74.
  17. Tettenborn B. Stroke and pregnancy. Neurol. Clin. 2012; 30(3): 913-24.
  18. Block H.S., Biller J. Neurology of pregnancy. Handb. Clin. Neurol. 2014; 121: 1595-622.
  19. Grear K.E., Bushnell C.D. Stroke and pregnancy: clinical presentation, evaluation, treatment, and epidemiology. Clin. Obstet. Gynecol. 2013; 56(2): 350-9.
  20. Kim Y.W., Neal D., Hoh B.L. Cerebral aneurysms in pregnancy and delivery: pregnancy and delivery do not increase the risk of aneurysm rupture. Neurosurgery. 2013; 72(2): 143-9.
  21. Kim K.D., Chang C.H., Choi B.Y., Jung Y.J. Endovascular treatment of a ruptured posterior inferior cerebellar artery aneurysm during pregnancy. J. Korean Neurosurg. Soc. 2014; 55(5): 273-6.
  22. Vega-Basulto S.D., Lafontaine-Terry E., Gutie Rrez-Muñoz F.G., Roura-Carrasco J., Pardo-Camacho G. [Intracranial hemorrhage due to aneurysms and arteriovenous malformations during pregnancy and puerperium]. Neurocirugia (Astur.). 2008; 19(1): 25-34. (in Spanish)
  23. Kataoka H., Miyoshi T., Neki R., Yoshimatsu J., Ishibashi-Ueda H., Iihara K. Subarachnoid hemorrhage from intracranial aneurysms during pregnancy and the puerperium. Neurol. Med. Chir. (Tokyo). 2013; 53(8): 549-54.

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Bionika Media, 2016