Pregnancy and neurology

Question 1

metabolic d/o that can present in pregnancy?

Answer 1

urea cycle defect

Question 2

tumor type in pregnancy / or after ectopic, that can met to brain?

Answer 2

choriocarcinoma

Question 3

neurological condition usually better during pregnancy? Caveat?

Answer 3

MS, increased flares after delivery. No effect on overall progression

Question 4

HA medicine during pregnancy that are ok but caution?

Answer 4

beta blockers: but can cause IUGR, TCAs

Question 5

AED levels that can be decreased in pregnancy (2), what levels should be measured?

Answer 5

Lamotrigine, Oxcarb.

Measure free drug levels

Question 6

Pregnancy listing if there is a risk to human fetus from investigation but can be used if serious illness?

Answer 6

D

Question 7

AED Drug with severe ndd and malformations in fetus?

Answer 7

VPA

Question 8

WHat % of MG will worsen w/ pregnancy? What is the risk to neonate?

Answer 8

1/3 worsen. 20% have neonatal MG syndrome

Question 9

tumor which may have accelerated growth during pregnancy?

Answer 9

meningioma

Question 10

When does chorea gravidarum begin?

Tx?

Answer 10

Usually after 1st trimester, then resolves during pregnancy or just after.
Tx: only if severe, haldol