title: Cerebrovascular Dysfunction in Preeclamptic Pregnancies.
abstract: Preeclampsia is a hypertensive, multisystem disorder of pregnancy that affects several organ systems, including the maternal brain. Cerebrovascular dysfunction during preeclampsia can lead to cerebral edema, seizures, stroke, and potentially maternal mortality. This review will discuss the effects of preeclampsia on the cerebrovasculature that may adversely affect the maternal brain, including cerebral blood flow (CBF) autoregulation and blood-brain barrier disruption and the resultant clinical outcomes including posterior reversible encephalopathy syndrome (PRES) and maternal stroke. Potential long-term cognitive outcomes of preeclampsia and the role of the cerebrovasculature are also reviewed.
authors.affiliation: Department of Obstetrics, Gynecology and Reproductive Sciences, University of Vermont, Burlington, VT, USA, Erica.hammer@uvmhealth.org.
authors.forename: Erica Shields
authors.initials: ES
authors.lastname: Hammer
authors.forename: Marilyn J
authors.initials: MJ
authors.lastname: Cipolla
mesh_terms: D000818:Animals; D001812:Blood-Brain Barrier; D002561:Cerebrovascular Disorders / Q000150:complications / Q000503:physiopathology*; D003071:Cognition; D005260:Female; D006801:Humans; D011225:Pre-Eclampsia / Q000503:physiopathology*; D011247:Pregnancy; D020521:Stroke / Q000209:etiology; D066127:White Matter / Q000098:blood supply