Dx of neurologic emergencies in pregnancy/postpartum

var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); Edlow JA, Caplan LR, Obrien K, Tibbles CD. Diagnosis of acute neurological emergencies in pregnant and post-partum women.  Lancet Neurology 2013; 12: 175-185This is a review article that is nicely written.  I am blogging some of the minutiae of the article, not necessarily the major points, that might escape otherwise.  Here are a few pearls from the article:1.  There is 8-39 % overlap between PRES and RCVS of patients with both conditions.var pageTracker = _gat._getTracker("UA-3639768-12"); pageTracker._initData(); pageTracker._trackPageview(); 2.  Suspicious for preeclampsia:  bilateral throbbing headaches with blurring and scintillating scotomata. Before ecampsia occurs with seizures, preceding symptoms may include frontal or occipital headache, blurring, photophobia, RUQ or epigastric pain, and altered mental status.  90 % occur at or after 28 weeks, and a third after delivery.  3.  Differential of thunderclap headaches:  subarachnoid hemorrhage, PRES, RCVS, and extracranial arterial dissections.  4.  HELLP syndrome stands for hemolysis, elevated liver function tests, low platelets.  However, TTP also can present with low platelets.  TTP is treated with plasma exchange, HELLP with ma...

Source: neurologyminutiae - October 1, 2013 Category: Neurologists Source Type: blogs