title: Neurocritical care complications of pregnancy and puerperum.
abstract: Neurocritical care complications of pregnancy and puerperum such as preeclampsia/eclampsia, hemolysis, elevated liver enzymes, low platelets syndrome, thrombotic thrombocytopenic purpura, seizures, ischemic and hemorrhagic stroke, postpartum angiopathy, cerebral sinus thrombosis, amniotic fluid emboli, choriocarcinoma, and acute fatty liver of pregnancy are rare but can be devastating. These conditions can present a challenge to physicians because pregnancy is a unique physiologic state, most therapeutic options available in the intensive care unit were not studied in pregnant patients, and in many situations, physicians need to deliver care to both the mother and the fetus, simultaneously. Timely recognition and management of critical neurologic complications of pregnancy/puerperum can be life saving for both the mother and fetus.
authors.affiliation: Cerebrovascular Center of the Neurological Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address: frontej@ccf.org.
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Frontera
authors.affiliation: Neuroscience Intensive Care Unit, Departments of Neurology, Emory, Atlanta, Georgia.
authors.forename: Wamda
authors.initials: W
authors.lastname: Ahmed
mesh_terms: D002822:Choriocarcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D003422:Critical Care / Q000379:methods*; D004619:Embolism, Amniotic Fluid / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D004827:Epilepsy / Q000175:diagnosis / Q000628:therapy; D005234:Fatty Liver / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D005260:Female; D005333:Fetus / Q000528:radiation effects; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007362:Intensive Care Units; D020767:Intracranial Thrombosis / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D007442:Intubation, Intratracheal / Q000379:methods; D011225:Pre-Eclampsia / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011644:Puerperal Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D011697:Purpura, Thrombotic Thrombocytopenic / Q000175:diagnosis / Q000628:therapy; D011832:Radiation Injuries / Q000517:prevention & control; D012121:Respiration, Artificial; D020521:Stroke / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
chemical_list: D006993:Hypnotics and Sedatives; D014662:Vasoconstrictor Agents
keywords: Neurologic complications; Pregnancy; Puerperum; Review