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Ebook Handbook of obstetric medicine (5/E): Part 2

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Nội dung chi tiết: Ebook Handbook of obstetric medicine (5/E): Part 2

Ebook Handbook of obstetric medicine (5/E): Part 2

CHAPTER 9Neurological problemsEpilepsyMigraine and headacheMultiple sclerosis (MS)Myasthenia gravis (MG)Myotonic dystrophyIdiopathic (benign) intracra

Ebook Handbook of obstetric medicine (5/E): Part 2anialhypertensionStrokeSubarachnoid haemorrhageCerebral vein thrombosisPosterior reversible encephalopathy syndrome (PRES)Reversible cerebral vasocons

triction syndromeBell's palsyEntrapment neuropathiesEpilepsyIncidenceEpilepsy affects about 0.5% of women of childbearing age and is the commonest chr Ebook Handbook of obstetric medicine (5/E): Part 2

onic neurological disorder to complicate pregnancy.Clinical featuresEpilepsy is classified according to the clinical type of seizure or specific elect

Ebook Handbook of obstetric medicine (5/E): Part 2

roencephalographic (EEG) features. Many types of epilepsy are characterized by more than one type of seizure. These may be broadly divided into■Primar

CHAPTER 9Neurological problemsEpilepsyMigraine and headacheMultiple sclerosis (MS)Myasthenia gravis (MG)Myotonic dystrophyIdiopathic (benign) intracra

Ebook Handbook of obstetric medicine (5/E): Part 2or secondary generalisation (complex partial seizures)■Temporal lobe seizures, which are a form of partial seizuresTemporal lobe seizures are often as

sociated with an aura, a duration of I minute or more and confusion after the event. Absences (petit mal) in contrast are normally of short duration ( Ebook Handbook of obstetric medicine (5/E): Part 2

a few seconds), have a rapid onset, rapid recovery and are precipitated by hyperventilation. Absences are associated with 3 Hz spike and wave discharg

Ebook Handbook of obstetric medicine (5/E): Part 2

e on the EEG.The clinical features of tonic-clonic seizures due to primary generalized epilepsy and secondary generalized partial seizures may be simi

CHAPTER 9Neurological problemsEpilepsyMigraine and headacheMultiple sclerosis (MS)Myasthenia gravis (MG)Myotonic dystrophyIdiopathic (benign) intracra

Ebook Handbook of obstetric medicine (5/E): Part 2hotosensitivity.Handbook of Obstetric MedicinePathogenesisMost cases of epilepsy are idiopathic and no underlying cause is found. About 30% of these p

atients have a family history of epilepsy.Secondary epilepsy may be encountered in pregnancy in patients who have the following:■Previous surgery to t Ebook Handbook of obstetric medicine (5/E): Part 2

he cerebral hemispheres.■Intracranial mass lesions (meningiomas and arteriovenous malformations [AVMs] enlarge during pregnancy. This should always be

Ebook Handbook of obstetric medicine (5/E): Part 2

considered if the first seizure occurs in pregnancy).■Antiphospholipid syndrome (see Chapter 8).Other causes of seizures in pregnancy (see also Chapt

CHAPTER 9Neurological problemsEpilepsyMigraine and headacheMultiple sclerosis (MS)Myasthenia gravis (MG)Myotonic dystrophyIdiopathic (benign) intracra

Ebook Handbook of obstetric medicine (5/E): Part 2ra (TTP) (see Chapter 14).

CHAPTER 9Neurological problemsEpilepsyMigraine and headacheMultiple sclerosis (MS)Myasthenia gravis (MG)Myotonic dystrophyIdiopathic (benign) intracra

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