Volume: 5 Issue: 1
Year: 2017, Page: 42-45,
Introduction: Several neurological diseases are unique to pregnancy and postpartum period . Some disorders increase in prevalence during this period.
Objective :To study the clinical profile of patients presenting with neurological manifestations in peripartum period.
Materials and Methods :A retrospective study carried out on 62 patients at Prathima Institute of Medical Sciences between july 2015 to july 2016 for a period range in 1year. All the patients requiring neurological consultations were included in the study.
Results :Total number of deliveries in this hospital during the given period was 3100.The incidence of neurological disorders was 2% in the study. Mortality due to neurological diseases or complications were 2 cases. Both the cases were of rare entity.
Conclusion : Seizures and headache were the commonest neurological manifestations in the present study.
Keywords: Seizures, headache, epilepsy, cerebro vascular accidents, neuropathies.
1. Mathews TJ,Hamilton BE.Mean age of mother,1970- 2000.Natl Vital Stat Rep.2002;51(1):-1- 13.
2. Luke B,Brown MB.Elevated risks of pregnancy complications and adverse outcomes with increasing maternal age.Hum Reprod.2007;22(5):1264-1272.
3. Berg CJ,Chang J,Callaghan WM,Whitehead SJ.Pregnancyrelated mortality in the United States,1991-1997.Obstet Gynecol.2003;101(2):289-296.
4. Slater RM,Wilcox FL,Smith WD,et al.(1989)Phenytoin in Pre-eclampsia.Lancet ii:1224. Google Scholar.
5. Lucas MJ,Leveno KI,Cunningham FG(1995) A comparision of magnesium sulphate with phenytoin for the prevention of eclampsia.N Engl J Med 333:201-205.CrossRef Medline Web of Science Google Scholar.
6. Goldstein PJ.Neurological disorders of pregnancy.Future Publishing:New York:1986.
7. Donaldson JO.Neurology of pregnancy.2nd ed.Saunders:London:1989.
8. To Wk,Cheung RT.Neurological disorders in pregnancy. Hong Kong Med J 1997;3:400-8.
9. Janaki S , Thomas L. Neurological complications in pregnancy and puerperium.Neurol India 1963;11:128-37.
10. Agarwal K.Neurological disorders in pregnancy and puerperium.J Assoc Phys India 1968;19:705-13.
11. Srinivasan K, Ramamurthi B. Neurological disorders in pregnancy and puerperium.J Assoc Phys India 1971;19:705-13.
12. Devinsky O, Yerby MS. Women with epilepsy .Reproduction and effects of pregnancy on epilepsy. Neurol Clin 1994;12:479-95.
13. Knight AH, Rhind EG. Epilepsy and pregnancy: A study of 153 pregnancies in 159 patients. Epilepsia 1975;16:99- 110.
14. Thomas SV, Indrani L, Devi GC , Jacob S Beegum J, Jacob PP , et al. Pregnancy in women with epilepsy: preliminary results of Kerala registry of epilepsy and pregnancy.Neurol India 2001;49:60-6.
15. Chan LY ,Tsui MH , Leung TN. Guillain-Barre syndrome in pregnancy. Acta Obstet Gynecol Scand. 2004;83(4):319- 325.
16. Wong CA . Nerve injuries after Neuraxial anaesthesia and their Medicolegal implications. Best Pract Res Clin Obstet Gynaecol. 2010;24(3):367-381.
17. Pelterson E. Bell’s palsy,the spontaneous course of 2500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl.2002(549):4-30.
18. Cohen Y ,Lavie O, Granovsky-Grisaru S ,Aboulafia Y ,Diamant YZ.Bell’s palsy complicating pregnancy:a review .Obstet Gynecol Surv.2000;55(3):184-188.
19. Vrabec JT ,Isaacson B,Van Hook JW.Bell’s palsy and pregnancy.Otolaryngol Head Neck Surg.2007;137(6):858- 861.
20. Shapiro JL, Yudin MH, Ray JG. Bell’s palsy and tinnitus during pregnancy:predictors of pre_eclampsiaThree cases and a detailed review 0f the literature .Acta Otolaryngol.; 119(6):647-651.
Ranjith P, Meghana Rao. Neurological manifestations in peripartum period. Perspectives in medical research 2017;5(1):42-45.