http://www.ncbi.nlm.nih.gov/pubmed/23516693

J R Coll Physicians Edinb. 2013 Mar;43(1):49-58. doi: 10.4997/JRCPE.2013.112.

Neurological diseases in pregnancy.

Kevat D, Mackillop L.

Source

L Mackillop, Women's Centre, John Radcliffe Hospital Headley Way, Oxford OX3 9DU, UK. lucy.mackillop@ouh.nhs.uk.

Abstract

Neurological diseases are a major cause of morbidity and mortality in pregnancy. The management of multiple sclerosis, epilepsy, myasthenia gravis, certain neuropathies and headache in pregnancy is described; the potentially life-threatening conditions of stroke and eclampsia are also discussed. Management of most neurological conditions is similar to outside of pregnancy, but special consideration should be given to delivery plans and thesafety of medications antenatally and during breastfeeding. Pre-pregnancy counselling, regular review and effective communication among a multi-disciplinary team are key to optimising management and outcomes.