Wednesday, October 29, 2008

Causes of peripartum stroke PEARLS


1 Highest risk in 6 weeks postpartum. During pregnancy arterial thrombosis prevailed, postpartum, venous occlusion prevailed in first month.
2. Consider carotid dissection
3. Paradoxical embolus occurs due to stasis, formation of DVT and clots in pregnancy
4..Amniotic fluid embolus is usually associated with multiparous women with uterine tears. Usually pulmonary disease coexists due to occlusion of lung vessels.
5. Peripartum cardiomyopathy occurs especially with certain predisposing infections (VZV?).
6.  Risk of ischemic stroke increases 8 x; of hemorrhagic stroke increases 28 x

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