Pregnancy-Related Factors and Prediction of Peripartum Stroke
DOI:
https://doi.org/10.56294/saludcyt20241353Keywords:
Reversible Cerebral Vasoconstriction Syndrome, Maternal Stroke, Cerebral Venous Thrombosis, Intracranial Hemorrhage, PreeclampsiaAbstract
Objetive: to demonstrate the prediction tools, risk factors, and predisposing factors of peripartum stroke and its impact on the fetus and the mother.
Method: in our review, we involved English studies from common databases such as Google Scholar, Pubmed/MEDLINE, Scopus, Web of Science, and the Cochrane Library with the keywords “prepartum,” “postpartum,” and “peripartum,” combined with keywords involving “maternal stroke,’’ and ‘’detection.” The end date for this review is September 2023.
Scientific novelty: there are several studies that tried to determine the incidence, risk factors, management, and complications of maternal stroke; however, there are studies that attempted to identify an accurate prediction tool for peripartum stroke. In our article, we tried to identify an accurate prediction tool for peripartum stroke.
Conclusion: our understanding of maternal stroke still has several limitations. Although risk indicators have been established, there are currently no techniques available to determine which females are more likely to experience postpartum strokes and need closer observation. The risk of a subsequent maternal stroke has not been clearly assessed, which limits the advice that clinicians can give patients
References
1. Miller EC. Maternal Stroke Associated With Pregnancy. Contin Lifelong Learn Neurol [Internet]. 2022 Feb;28(1):93–121. Available from: https://journals.lww.com/10.1212/CON.0000000000001078
2. Salehi Omran S, Parikh NS, Poisson S, Armstrong J, Merkler AE, Prabhu M, et al. Association between Pregnancy and Cervical Artery Dissection. Ann Neurol [Internet]. 2020 Sep 13;88(3):596–602. Available from: https://onlinelibrary.wiley.com/doi/10.1002/ana.25813
3. Zambrano MD, Miller EC. Maternal Stroke: an Update. Curr Atheroscler Rep [Internet]. 2019 Sep 22;21(9):33. Available from: http://link.springer.com/10.1007/s11883-019-0798-2
4. Kusainov A. Optimising anesthesia support during operations on the abdominal aorta and its branches. Futur Med [Internet]. 2022 Sep 30;11–21. Available from: http://futurity-medicine.com/index.php/fm/article/view/12
5. Elgendy IY, Bukhari S, Barakat AF, Pepine CJ, Lindley KJ, Miller EC. Maternal Stroke. Circulation [Internet]. 2021 Feb 16;143(7):727–38. Available from: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.120.051460
6. Baig S. Change in physical and mental health due to aging: future perspective. Futur Med [Internet]. 2023 Mar 30;13–23. Available from: http://futurity-medicine.com/index.php/fm/article/view/22
7. Kozberg MG, Camargo EC. Management of Maternal Stroke and Mitigating Risk. Curr Treat Options Cardiovasc Med [Internet]. 2019 Nov 21;21(11):72. Available from: http://link.springer.com/10.1007/s11936-019-0770-z
8. Khalid N. The role of artificial intelligence in the management of lung cancer: a narrative review. Futur Med [Internet]. 2023 Mar 30;36–46. Available from: http://futurity-medicine.com/index.php/fm/article/view/24
9. Maltsev D V., Hurzhii OO. Recurrent ocular toxoplasmosis infection in a patient with a selective deficiency of NK T-cells and cytotoxic СD8+ T-cells associated with a genetic folate cycle deficiency. Oftalmol Zh [Internet]. 2022 Aug 22;99(4):49–57. Available from: https://www.ozhurnal.com/en/archive/2022/4/8-fulltext
10. Brohan MP, Daly FP, Kelly L, McCarthy FP, Khashan AS, Kublickiene K, et al. Hypertensive disorders of pregnancy and long-term risk of maternal stroke—a systematic review and meta-analysis. Am J Obstet Gynecol [Internet]. 2023 Sep;229(3):248–68. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0002937823001977
11. Diachenko I, Kalishchuk S, Zhylin M, Kyyko A, Volkova Y. Color education: A study on methods of influence on memory. Heliyon [Internet]. 2022 Nov;8(11):e11607. Available from: https://linkinghub.elsevier.com/retrieve/pii/S240584402202895X
12. Miller EC, Zambrano Espinoza MD, Huang Y, Friedman AM, Boehme AK, Bello NA, et al. Maternal Race/Ethnicity, Hypertension, and Risk for Stroke During Delivery Admission. J Am Heart Assoc [Internet]. 2020 Feb 4;9(3). Available from: https://www.ahajournals.org/doi/10.1161/JAHA.119.014775
13. Roeder HJ, Lopez JR, Miller EC. Ischemic stroke and cerebral venous sinus thrombosis in pregnancy. In: Handbook of Clinical Neurology [Internet]. 2020. p. 3–31. Available from: https://linkinghub.elsevier.com/retrieve/pii/B9780444642400000015
14. Foo L, Bewley S, Rudd A. Maternal death from stroke: a thirty year national retrospective review. Eur J Obstet Gynecol Reprod Biol [Internet]. 2013 Dec;171(2):266–70. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0301211513004715
15. Miller EC, Leffert L. Maternal Stroke. In: Principles and Practice of Maternal Critical Care [Internet]. Cham: Springer International Publishing; 2020. p. 343–61. Available from: http://link.springer.com/10.1007/978-3-030-43477-9_25
16. Bandoli G, Baer RJ, Gano D, Pawlowski LJ, Chambers C. Migraines During Pregnancy and the Risk of Maternal Stroke. JAMA Neurol [Internet]. 2020 Sep 1;77(9):1177. Available from: https://jamanetwork.com/journals/jamaneurology/fullarticle/2766569
17. Gulati AK, Castri P, Deveber GA, Menon BK, Majersik JJ, Clark E, et al. Abstract WP183: Pregnancy-related Factors Associated With Stroke In Mothers And Newborns: Data From The International Maternal Newborn Stroke Registry. Stroke [Internet]. 2022 Feb;53(Suppl_1). Available from: https://www.ahajournals.org/doi/10.1161/str.53.suppl_1.WP183
18. Ylinen A, Hägg-Holmberg S, Eriksson MI, Forsblom C, Harjutsalo V, Putaala J, et al. The impact of parental risk factors on the risk of stroke in type 1 diabetes. Acta Diabetol [Internet]. 2021 Jul 15;58(7):911–7. Available from: https://link.springer.com/10.1007/s00592-021-01694-x
19. Rossignol M, Jonard M, Cohen H. Mortalité maternelle par accident vasculaire cérébral en France 2013–2015. Gynécologie Obs Fertil Sénologie [Internet]. 2021 Jan;49(1):73–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2468718920303354
20. Swartz RH, Cayley ML, Foley N, Ladhani NNN, Leffert L, Bushnell C, et al. The incidence of pregnancy-related stroke: A systematic review and meta-analysis. Int J Stroke [Internet]. 2017 Oct 8;12(7):687–97. Available from: http://journals.sagepub.com/doi/10.1177/1747493017723271
21. Ndaboine EM, Kihunrwa A, Rumanyika R, Im HB, Massinde AN. Maternal and perinatal outcomes among eclamptic patients admitted to Bugando Medical Centre, Mwanza, Tanzania. Afr J Reprod Health [Internet]. 2012 Mar;16(1):35–41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22783666
22. Prabhu TRB. Cerebrovascular Complications in Pregnancy and Puerperium. J Obstet Gynecol India [Internet]. 2013 Apr 27;63(2):108–11. Available from: http://link.springer.com/10.1007/s13224-012-0251-8
23. Too G, Wen T, Boehme AK, Miller EC, Leffert LR, Attenello FJ, et al. Timing and Risk Factors of Postpartum Stroke. Obstet Gynecol [Internet]. 2018 Jan;131(1):70–8. Available from: https://journals.lww.com/00006250-201801000-00010
24. Meeks JR, Bambhroliya AB, Alex KM, Sheth SA, Savitz SI, Miller EC, et al. Association of Primary Intracerebral Hemorrhage With Pregnancy and the Postpartum Period. JAMA Netw Open [Internet]. 2020 Apr 14;3(4):e202769. Available from: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2764376
25. Malek AM, Wilson DA, Turan TN, Mateus J, Lackland DT, Hunt KJ. Maternal Coronary Heart Disease, Stroke, and Mortality Within 1, 3, and 5 Years of Delivery Among Women With Hypertensive Disorders of Pregnancy and Pre‐Pregnancy Hypertension. J Am Heart Assoc [Internet]. 2021 Mar 2;10(5). Available from: https://www.ahajournals.org/doi/10.1161/JAHA.120.018155
26. Katsuragi S, Tanaka H, Hasegawa J, Nakamura M, Kanayama N, Nakata M, et al. Analysis of preventability of stroke-related maternal death from the nationwide registration system of maternal deaths in Japan. J Matern Neonatal Med [Internet]. 2018 Aug 18;31(16):2097–104. Available from: https://www.tandfonline.com/doi/full/10.1080/14767058.2017.1336222
27. Tanaka H, Hasegawa J, Katsuragi S, Tanaka K, Arakaki T, Nakamura M, et al. Are There Maternal Deaths Related to Hemorrhagic Stroke Due to Hypertensive Disorder of Pregnancy That Could Be Potentially Preventable by Tight Hypertension Management in Antepartum? A Retrospective Study from the Maternal Death Exploratory Committee in . J Clin Med [Internet]. 2023 Apr 17;12(8):2908. Available from: https://www.mdpi.com/2077-0383/12/8/2908
28. Waites BT, Walker AR, Caughey AB. Delivery timing in dichorionic diamniotic twin pregnancies complicated by preeclampsia: a decision analysis. J Matern Neonatal Med [Internet]. 2022 Dec 12;35(25):9780–5. Available from: https://www.tandfonline.com/doi/full/10.1080/14767058.2022.2053103
29. Morello A, Casseri T, Acampa M, Galluzzi P, Cerase A, Monti L. Stroke in Pregnancy and Review of Current Literature: Arterial Spin-Labeling MRI Can Identify the Presence and Intensity of Collateral Circle. J Stroke Cerebrovasc Dis [Internet]. 2018 Dec;27(12):3575–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1052305718304695
30. Geraldo AF, Parodi A, Bertamino M, Buffelli F, Uccella S, Tortora D, et al. Perinatal Arterial Ischemic Stroke in Fetal Vascular Malperfusion: A Case Series and Literature Review. Am J Neuroradiol [Internet]. 2020 Dec;41(12):2377–83. Available from: http://www.ajnr.org/lookup/doi/10.3174/ajnr.A6857
31. Monari F, Busani S, Imbrogno MG, Neri I, Girardis M, Ghirardini A, et al. Vertebral artery dissection in term pregnancy after cervical spine manipulation: a case report and review the literature. J Med Case Rep [Internet]. 2021 Dec 20;15(1):530. Available from: https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-021-03090-z
32. Smetanskyi V, Šefčíková A, Dörr A. Cerebral venous thrombosis during pregnancy. Ces Gynekol [Internet]. 2018;83(2):123–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29869511
33. Gazioglu S, Dinc G. Cerebral venous sinus thrombosis in pregnancy and puerperium. Acta Neurol Belg [Internet]. 2021 Aug 6;121(4):967–72. Available from: https://link.springer.com/10.1007/s13760-020-01459-3
34. Mahmoud A, Ekin U, Kania B, Shrouf A, Maroules M. Cerebral venous sinus thrombosis in pregnancy presenting with hemiplegia: A case report. Radiol Case Reports [Internet]. 2022 Oct;17(10):3713–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1930043322005520
35. Zhou B, Huang SS, Huang C, Liu SY. Cerebral venous sinus thrombosis in pregnancy: A case report. World J Clin Cases [Internet]. 2022 Jan 7;10(1):309–15. Available from: https://www.wjgnet.com/2307-8960/full/v10/i1/309.htm
36. Shigemori Y, Nonaka M, Abe H, Ogata T, Iwaasa M, Higashi T, et al. Management of Intracerebral Hemorrhage during Pregnancy and the Puerperium. Japanese J Neurosurg [Internet]. 2013;22(7):542–8. Available from: https://www.jstage.jst.go.jp/article/jcns/22/7/22_542/_article/-char/ja/
37. Vest T, Rantanen K, Verho L, Aarnio K, Korhonen A, Richardt A, et al. Etiology of intracerebral hemorrhage during pregnancy or puerperium: A nationwide study. Eur J Neurol [Internet]. 2023 Aug 11; Available from: https://onlinelibrary.wiley.com/doi/10.1111/ene.16012
38. Miller EC. Maternal Stroke Associated With Pregnancy. Contin Lifelong Learn Neurol [Internet]. 2022 Feb;28(1):93–121. Available from: https://journals.lww.com/10.1212/CON.0000000000001078
39. Fujiwara S, Ohara N, Kono T, Inui R, Imamura H, Kawamoto M, et al. Reversible Cerebral Vasoconstriction Syndrome in Early Pregnancy Treated with Endovascular Therapy. J Neuroendovascular Ther [Internet]. 2020;14(5):177–82. Available from: https://www.jstage.jst.go.jp/article/jnet/14/5/14_cr.2019-0108/_article
40. Kasuya C, Suzuki M, Koda Y, Sato H, Kashima K, Honda K, et al. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section. Oxford Med Case Reports [Internet]. 2018 Dec 1;2018(12). Available from: https://academic.oup.com/omcr/article/doi/10.1093/omcr/omy101/5194304
41. James AH, Bushnell CD, Jamison MG, Myers ER. Incidence and Risk Factors for Stroke in Pregnancy and the Puerperium. Obstet Gynecol [Internet]. 2005 Sep;106(3):509–16. Available from: http://journals.lww.com/00006250-200509000-00011
42. Miller EC, Vollbracht S. Neurology of Preeclampsia and Related Disorders: an Update in Neuro-obstetrics. Curr Pain Headache Rep [Internet]. 2021 Jun 7;25(6):40. Available from: https://link.springer.com/10.1007/s11916-021-00958-z
43. Verho L, Tikkanen M, Äyräs O, Aarnio K, Rantanen K, Korhonen A, et al. Pregnancy‐associated stroke and the recurrence of stroke and other complications in subsequent pregnancies: Population‐based retrospective cohort study. BJOG An Int J Obstet Gynaecol [Internet]. 2023 Oct 23;130(11):1421–9. Available from: https://obgyn.onlinelibrary.wiley.com/doi/10.1111/1471-0528.17503
44. Ijäs P. Trends in the Incidence and Risk Factors of Pregnancy-Associated Stroke. Front Neurol [Internet]. 2022 Apr 11;13. Available from: https://www.frontiersin.org/articles/10.3389/fneur.2022.833215/full
45. Katsafanas C, Bushnell C. Pregnancy and stroke risk in women. Neurobiol Dis [Internet]. 2022 Jul;169:105735. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0969996122001279
46. Doiron T, Ramseyer A, Phelps EN, Williams AJ, Teal LN, Hollenbach LL, et al. Pregnancy-Related Stroke: A Review. Obstet Gynecol Surv [Internet]. 2022 Jun;77(6):367–78. Available from: https://journals.lww.com/10.1097/OGX.0000000000001039
47. Ladhani NNN, Swartz RH, Foley N, Nerenberg K, Smith EE, Gubitz G, et al. Canadian Stroke Best Practice Consensus Statement: Acute Stroke Management during pregnancy. Int J Stroke [Internet]. 2018 Oct 18;13(7):743–58. Available from: http://journals.sagepub.com/doi/10.1177/1747493018786617
48. Elgendy IY, Gad MM, Mahmoud AN, Keeley EC, Pepine CJ. Acute Stroke During Pregnancy and Puerperium. J Am Coll Cardiol [Internet]. 2020 Jan;75(2):180–90. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0735109719384621
49. Yuyun MF, Sliwa K, Kengne AP, Mocumbi AO, Bukhman G. Cardiovascular Diseases in Sub-Saharan Africa Compared to High-Income Countries: An Epidemiological Perspective. Glob Heart [Internet]. 2020 Feb 12;15(1):15. Available from: https://globalheartjournal.com/article/10.5334/gh.403/
50. Liu S, Chan WS, Ray JG, Kramer MS, Joseph KS. Stroke and Cerebrovascular Disease in Pregnancy. Stroke [Internet]. 2019 Jan;50(1):13–20. Available from: https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.023118
51. Gebremariam SA, Yang HS. Types, risk profiles, and outcomes of stroke patients in a tertiary teaching hospital in northern Ethiopia. eNeurologicalSci [Internet]. 2016 Jun;3:41–7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2405650216300107
52. Shenkutie Greffie E. Risk Factors, Clinical Pattern and Outcome of Stroke in a Referral Hospital, Northwest Ethiopia. Clin Med Res [Internet]. 2015;4(6):182. Available from: http://www.sciencepublishinggroup.com/journal/paperinfo?journalid=151&doi=10.11648/j.cmr.20150406.13
53. Lecoffre C, de Peretti C, Gabet A, Grimaud O, Woimant F, Giroud M, et al. National Trends in Patients Hospitalized for Stroke and Stroke Mortality in France, 2008 to 2014. Stroke [Internet]. 2017 Nov;48(11):2939–45. Available from: https://www.ahajournals.org/doi/10.1161/STROKEAHA.117.017640
54. Karjalainen L, Tikkanen M, Rantanen K, Aarnio K, Korhonen A, Saaros A, et al. Stroke in Pregnancy and Puerperium. Neurology [Internet]. 2021 May 25;96(21):e2564–75. Available from: https://www.neurology.org/lookup/doi/10.1212/WNL.0000000000011990
55. Kamel H, Navi BB, Sriram N, Hovsepian DA, Devereux RB, Elkind MSV. Risk of a Thrombotic Event after the 6-Week Postpartum Period. N Engl J Med [Internet]. 2014 Apr 3;370(14):1307–15. Available from: http://www.nejm.org/doi/10.1056/NEJMoa1311485
56. Kittner SJ, Stern BJ, Feeser BR, Hebel JR, Nagey DA, Buchholz DW, et al. Pregnancy and the Risk of Stroke. N Engl J Med [Internet]. 1996 Sep 12;335(11):768–74. Available from: http://www.nejm.org/doi/abs/10.1056/NEJM199609123351102
57. Leffert LR, Clancy CR, Bateman BT, Bryant AS, Kuklina E V. Hypertensive Disorders and Pregnancy-Related Stroke. Obstet Gynecol [Internet]. 2015 Jan;125(1):124–31. Available from: https://journals.lww.com/00006250-201501000-00021
58. Enomoto N, Tanaka H, Katsuragi S, Hayata E, Hasegawa J, Nakata M, et al. Pregnancy‐associated hemorrhagic stroke: A nationwide survey in Japan. J Obstet Gynaecol Res [Internet]. 2021 Jun 5;47(6):2066–75. Available from: https://obgyn.onlinelibrary.wiley.com/doi/10.1111/jog.14786
59. Sukhostavets N. Psycho-rehabilitation adaptation of pregnant women and mothers in the postpartum period who experienced traumatic events during the war. FM [Internet]. 2022 Sep. 30 [cited 2023 Jan. 14];1(3):4-12. Available from: https://futurity-medicine.com/index.php/fm/article/view/11
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