The purpose of this educational exhibit is to: To enumerate various neurological complications that occurs in postpartum state. To illustrate the imaging spectrum and MRI features of postpartum neurological complications.
Women during pregnancy and postpartum state undergo various physiological,
hemodynamic and hormonal changes which are essential to sustain the normal pregnancy.
There has been an increase in overall average age of pregnancy with concomitant increased incidence of gestational hypertension and diabetes mellitus .
Neurologic signs and symptoms in pregnant and postpartum women may be due to the exacerbation of a pre-existing medical condition,
the initial manifestation of a primary central...
Findings and procedure details
A pictorial review of pathophysiology and imaging of PRES and CVT are described.
We also review other cerebrovasclar complications like ischemic stroke and hypertensive gangliocapsular hemorrhage,
aneurysmal and non-aneurysmal subarachnoid hemorrhage and postpartum cerebral angiopathy. We have also described uncommon metabolic conditions in postpartum state like Wernicke‘s encephalopathy and hypernatremic osmotic cerebral demyelination which can sometimes be confused with PRES. Pituitary...
CONCLUSION: It is important to make the distinction between the benign and more serious neurologic signs,
symptoms and complications seen in postpartum women. Since many of these signs and symptoms overlap,
this distinction may be challenging for the clinician. A varied spectrum of imaging findings may be encountered in the post partum state.
Knowledge of the various pathological processes and their distinctive imaging findings is important in early diagnosis and management.
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