Stroke during pregnancy is an uncommon but serious cause of morbidity and mortality among women of childbearing age. In this review, we discuss the etiologies of pregnancy-specific ischemic and hemorrhagic strokes, diagnostic approaches, and therapeutic challenges. The clinical summary has been updated by Dr. Adrian Marchidann of SUNY Downstate Health Science Center in Brooklyn, New York. The most important additions to this update are clarification of the relationship between preeclampsia-related stroke and posterior reversible encephalopathy syndrome, reversible cerebral vasoconstriction syndrome and hemolysis, and elevated liver enzymes and low platelet syndrome. In addition, the acute treatment of intracerebral hemorrhage and ischemic stroke were updated in light of recently published guidelines and interventional trials.
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