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CENTRAL NERVOUS SYSTEM IMAGING.. . . . . . . . . . .. 1156
HEADACHE ................................... 1157
SEIZURE DISORDERS.. . . . . . . . . . . . . . . . . . . . . . . . . .. 1158 CEREBROVASCULAR DISEASES . . . . . . . . . . . . . . . . .. 1160
DEMYELINATING OR DEGENERATIVE DISEASES ..... 1164
NEUROPATHIES ............................... 1166
SPINAL CORD INJURY.. . . . . . . . . . . . . . . . . . . . . . . . .. 1167
IDIOPATHIC INTRACRANIAL HYPERTENSION ....... 1168
MATERNAL VENTRICULAR SHUNTS ............... 1168
MATERNAL BRAIN DEATH ....................... 1168
Epilepsy appears to have no fect on pregnancy, though at the time of labour it may be mistaken or eclampsia by inexperienced observers. f the attacks are requent the patient should be put upon large doses of potassium bromide and treated just as at other times.
-J. Whitridge Williams (1903)
Although several neurological diseases are relatively common in women of childbearing age, less than two pages were devoted to Diseases of the Nervous System in this textbook's first edition. In the past, some may have precluded pregnancy, however, few do so now. Most encountered during pregnancy are the same as for nonpregnant women, however a few neurological disorders may be seen more frequently in pregnant women. Examples are Bell palsy, specific types of strokes, and benign intracranial hypertension or pseudotumor cerebri. Neurovascular disorders are an important cause of maternal mortality and accounted for nearly 7 percent of maternal deaths in the United States from 2011 through 2013 (Creanga, 2017).
Many neurological disorders frequently precede pregnancy. fost women with chronic neurological disease who become pregnant will have successful outcomes, but some disorders have speciic risks. Conversely, other women will have newonset neurological symptoms during pregnancy, and these often must be distinguished from pregnancy complications. Psychiatric disorders can also manifest with cognitive and neuromuscular abnormalities and should be considered in the evaluation.