Neurological Disorders And Pregnancy

For a woman of reproductive age, any medical appointment is a pre-conception visit and an opportunity to address pre-existing conditions that affect pregnancy and the maternal-fetal dyad. However, many neurologic conditions are rarely seen in pregnancy, and limited experience and knowledge may prevent the team from developing a shared approach to these complex conditions during pregnancy. Neurological Diseases and Pregnancy: A Coordinated Care Model for Best Management brings together experts across the disciplines of maternal fetal medicine, neurology, obstetrics, family planning, genetics, anesthesia, psychiatry, neurosurgery, and lactation to provide a multi-disciplinary, comprehensive, protocol-driven guide on best care for patients with neurologic disease before, during and after pregnancy. Each chapter provides a detailed care map on each unique disorder, and discusses the use of neurological medications during pregnancy and in lactation. Through this multi-disciplinary approach clinicians can navigate the complexities of preconception and pregnancy care, and help to optimize outcomes for the mother-infant dyad. Beyond pregnancy care, this volume further serves as a resource on best care for the life-course of women affected by neurologic disease including pre-pregnancy planning, genetic counseling, contraception, and sexuality in neurologic disease, as well as post-partum depression and menopausal neurologic changes.

Timely diagnosis and management of neurological diseases during pregnancy poses major therapeutic challenges to neurologists and other non-neurologist health care providers. Pregnancy is a unique period in life associated with significant hormonal and other physiologic changes in female patients, which may trigger or alter the course of neurological and psychiatric disorders. In addition, many diagnostic procedures that can be performed in non-pregnant women are prohibited during pregnancy for safety reasons. Therapeutic decisions and management of a pregnant patient with neurological disorders heavily depends on the issue of the reasonable balance between the risks of no treatment versus active treatment for the mother and her fetus. This book provides a review of the latest findings in this field, giving the neurologist and non-neurologist the information they need to determine the best treatment. Neurological disorders covered include multiple sclerosis, stroke and epilepsy. Discusses how neurological disorders should be managed in a pregnant patient Includes contributions from leading authorities

This book is a collection of the latest data and papers on neurological disorders during pregnancy. These complicated and difficult conditions require a multi-disciplinary approach to treatment, which may either be surgical intervention or medical management. For women in the reproductive age group, the diagnosis of neurological disorders during pregnancy or post-partum creates further challenges Taking motivation from the Editor’s successful management for pregnant cases with neurological disorders, this book is intended to guide the neurosurgical community towards better management of treating neurological disorders in pregnancy.

This book is a practical and easily readable guide for neurologists, obstetricians, and primary care doctors treating female patients with neurological illness in their reproductive years. Offers wide ranging coverage, including family planning and lactation Presents information in approachable tables and summaries, focusing on high yield information useful for clinical consultation Is written by a team of experts and edited by recognized leaders in the field

Other chapters cover rheumatological disorders, maternal head trauma, central nervous system neoplasms, infections of the central nervous system, movement disorders, pregnancy in paraplegic women, peripheral nerve disorders, and muscle diseases.

Neurology and Pregnancy provides a comprehensive multidisciplinary guide to best practices for research and practicing neurologists, as well as obstetricians and other specialists caring for women with an acute or chronic neurological disorder. The book encompasses preconception care, genetic counseling, pregnancy in patients with chronic neurological disorders, and acute pregnancy-related neurological complications. Postpartum care and complications, including lactation concerns, are also addressed, as well as the long-term effects of pregnancy and its complications on maternal brain health. Vol 1 summarizes the complex neurophysiological changes in pregnancy from a basic and translational science perspective. This includes neuroimaging, principles of neuro-obstetric critical care, and ethical and medicolegal concerns, describes normal fetal cerebral development and summarizes the management of the most common prenatal neurological diagnoses. Vol 2 focuses on chronic neurological conditions in pregnancy such as epilepsy, migraine, and multiple sclerosis, as well as acute neurological disorders including preeclampsia/ eclampsia, ischemic and hemorrhagic stroke, and CNS infections. Each chapter introduction includes data on epidemiology, when applicable. In discussing management, comments of safety profiles of medications preconceptionally, during pregnancy and lactation are summarized. Each chapter includes 1-2 illustrative cases. Encompasses both chronic and acute neurological disorders in pregnancy Includes epilepsy, sleep disorders, MS, headaches, neuromuscular disorders Covers spinal injury and movement disorders Contains cerebrovascular diseases and brain tumors Examines stroke, hemorrhage, TBI, preeclampsia and more Supplies illustrative case study examples

Pregnancy complicated by neurological disorders is a challenging area for both obstetricians and neurologists. Treatment of the maternal condition often needs to be adjusted because of concerns for the fetus, and some conditions have a major impact on the method, mode, and timing of delivery. Many of the clinical problems that arise in pregnant women with a neurological disease have not been the subject of clinical trials, so management must often be based on what published evidence is available and a good understanding of the likely interactions between the condition and pregnancy and vice versa. The editors and contributors represent a team with considerable experience in this area. They offer their "best practice" advice as how to treat the mother effectively, ensuring fetal safety, as well as embracing a philosophy that the pregnancy of a woman with a neurological disease should be made as enjoyable and rewarding for her as is possible.