STROKE IN PREGNANCY

Stroke is a paralysis of part of the body due to blockage in the brain vessels or sudden bleeding. Also called cerebrovascular accident or serabrovascular disease (SVO). Stroke can occur due to blockage in the brain vessels or clotting from another part of the body (heart) to the brain, sudden bleeding into the brain. Stroke caused by a blockage in the brain vessel is called an ischemic stroke, a stroke caused by a brain hemorrhage is called a hemorrhagic stroke. The main mechanism that causes stroke is the malnutrition of a region's brain. It is an emergency that needs to be treated urgently.
Temporary developing stroke conditions are called transient ischemic attack (TIA), where a temporary and short sudden stroke occurs. In TIA, the symptoms are short-lived and usually resolve on their own.
In the case of a stroke (cerebrovascular accident), there are symptoms such as sudden weakness on one side of the body, numbness in the arm and leg, severe headache, sudden visual impairment, inability to speak, and inability to understand what is spoken. Although it is sometimes accompanied by a coma in the case of a stroke, it is not always seen.
Factors that increase the risk of stroke in pregnant or non-pregnant:
- Cigaret
- alcohol
- Cocaine
- Hypertension
- Heart valve diseases
- Having had myocardial infarction
- Endocarditis
- Atrial fibrillation
- Thrombophilia
- Diabetes
- Hypercholesterolemia
- Obesity, unhealthy diet, sedentary lifestyle
- Pregnancy
- Birth control pill use
Stroke in Pregnancy and Postpartum Period:
Stroke, seen in non-pregnant women at a rate of 1 in 10 thousand, is more common in pregnant women to be 2-3 in 10 thousand. The reason for the increase in the risk of stroke during pregnancy is thought to be the susceptibility to hypercoagulability during pregnancy, hemoconcentration, cardiovascular system changes, and hypertensive conditions such as preeclampsia.
The most common cause of ischemic and hemorrhagic stroke during pregnancy is preeclampsia, eclampsia, HELLP syndrome. Hemorrhagic stroke may occur during pregnancy due to aneurysm, arteriovenous malformation, preeclampsia; Ischemic stroke may occur due to cerebral venous sinus thrombosis, heart valve diseases and preeclampsia. Causes such as trophoblastic embolism and amniotic fluid embolism are pregnancy-specific but very rarely seen causes of stroke.
The postpartum period, ie postpartum period, is also characterized by a significant risk increase in terms of stroke, about half of the strokes related to pregnancy are seen in this period. Hypertension and cesarean increase the risk of stroke in pregnancy-postpartum period. Postpartum infection and bleeding are also factors that increase the risk of stroke.
Diagnosis and treatment of stroke during pregnancy are similar to people who are not pregnant. If there is severe preeclampsia or HELLP, specific treatment is given. Although CT (computed tomography) is generally used as the first step in the promotion, it is the advantages of MR being safe during pregnancy and being more sensitive in some small infarcts.

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