Neurology in OB Flashcards
Most common neuro coplaint in preggers
Headache
Which migraine tx is ABSOLUTELY CI?
Ergotamine
What class of meds should generally be avoided when tx migraines during pregnancy?
Triptans
When is a headache concerning?
If it begins during pregnancy
Would rather see a hx of HA prior to pregnancy
What must be considered in every pt over 20 weeks with a headache?
Pre-eclampsia
Eclampsia tx
Delivery
Control HTN
Control seizures - Mag sulfate DOC
Clinical correlation of magnesium sulfate lvls
8-10 mEq/L = loss of DTRs
10-15 mEq/L = respiratory paralysis
20-25 mEq/L = cardiac arrest
How do seizures change in pregnancy?
Most will have no alteration of their seizure pattern during pregnancy
Minimize noncompliance and sleep deprivation
How are seizures believed to be harmful to the fetus?
Fetal brady
Most common major malformations associated with AEDs?
Neural tube Congenital heart Urinary tract Skeletal Cleft palate
What is AED exposure in utero linked to and which AED has the strongest association?
Impaired cognitive development
Valproate
What may happen to brain tumors in preggers?
May enlarge or mets
Clinical manifestation of brain tumors
N/V LATE in gestation and gradually worsening
What is the most common cause of stroke in pregnancy?
Pre-eclampsia/eclampsia
When does cerebral venous thrombosis present most often?
In the immediate postpartum period
