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. 1968 Jul 27;3(5612):214–218. doi: 10.1136/bmj.3.5612.214

Cerebral Strokes Associated with Pregnancy and the Puerperium

James N Cross, P Oscar Castro, W Bryan Jennett
PMCID: PMC1986232  PMID: 5662974

Abstract

Thirty-one cases of ischaemic cerebral stroke occurring in association with childbirth were fully investigated. The pathological basis of non-haemorrhagic carotid territory strokes in pregnant or puerperal women proved to be similar to that in non-pregnant women of the same age group. Over 70% were due to occlusive cerebral arterial disease or ischaemic lesions unrelated to thrombosis of the intracranial venous system. Comparisons are made with some other reported series in which only a minority of the patients were investigated by angiography, but in which intracranial venous occlusion was assumed to be the primary lesion. It seems likely that many of these patients may also have suffered arterial rather than venous lesions.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams J. H., Graham D. I. Twelve cases of fatal cerebral infarction due to arterial occlusion in the absence of atheromatous stenosis or embolism. J Neurol Neurosurg Psychiatry. 1967 Dec;30(6):479–488. doi: 10.1136/jnnp.30.6.479. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. BICKEL D. A., BARAN C. S. Cortical venous thrombosis following delivery. Am J Obstet Gynecol. 1952 Apr;63(4):927–928. doi: 10.1016/s0002-9378(16)38888-3. [DOI] [PubMed] [Google Scholar]
  3. BOSHES B., McBEATH J. Cerebral complications of pregnancy. J Am Med Assoc. 1954 Jan 30;154(5):385–389. doi: 10.1001/jama.1954.02940390009003. [DOI] [PubMed] [Google Scholar]
  4. BULL J. W., MARSHALL J., SHAW D. A. Cerebral angiography in the diagnosis of the acute stroke. Lancet. 1960 Mar 12;1(7124):562–565. doi: 10.1016/s0140-6736(60)92774-4. [DOI] [PubMed] [Google Scholar]
  5. BURT R. L., DONNELLY J. F., WHITENER D. L. Cerebral venous thrombosis in the puerperium; report of two cases with necropsy findings. Am J Obstet Gynecol. 1951 Sep;62(3):639–643. doi: 10.1016/0002-9378(51)91164-7. [DOI] [PubMed] [Google Scholar]
  6. Carroll J. D., Leak D., Lee H. A. Cerebral thrombophlebitis in pregnancy and the puerperium. Q J Med. 1966 Jul;35(139):347–368. [PubMed] [Google Scholar]
  7. Connor R. C., Adams J. H. Importance of cardiomyopathy and cerebral ischaemia in the diagnosis of fatal coma in pregnancy. J Clin Pathol. 1966 May;19(3):244–249. doi: 10.1136/jcp.19.3.244. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. FISHER R. G., ROLLAS Z. Postpartum hemiplegia. JAMA. 1960 Sep 10;174:155–158. doi: 10.1001/jama.1960.03030020043011. [DOI] [PubMed] [Google Scholar]
  9. FISHMAN R. A., COWEN D., SILBERMAN M. Intracranial venous thrombosis during the first trimester of pregnancy. Neurology. 1957 Mar;7(3):217–220. doi: 10.1212/wnl.7.3.217. [DOI] [PubMed] [Google Scholar]
  10. GOLDMAN J. A., ECKERLING B., GANS B. INTRACRANIAL VENOUS SINUS THROMBOSIS IN PREGNANCY AND PUERPERIUM. REPORT OF FIFTEEN CASES. J Obstet Gynaecol Br Commonw. 1964 Oct;71:791–796. doi: 10.1111/j.1471-0528.1964.tb04361.x. [DOI] [PubMed] [Google Scholar]
  11. HUMPHREY J. G., NEWTON T. H. Internal carotid artery occlusion in young adults. Brain. 1960 Dec;83:565–578. doi: 10.1093/brain/83.4.565. [DOI] [PubMed] [Google Scholar]
  12. HYLAND H. H. Intracranial venous thrombosis in the puerperium. J Am Med Assoc. 1950 Mar 11;142(10):707–710. doi: 10.1001/jama.1950.02910280015003. [DOI] [PubMed] [Google Scholar]
  13. Illis L., Kocen R. S., McDonald W. I., Mondkar V. P. Oral contraceptives and cerebral arterial occlusion. Br Med J. 1965 Nov 13;2(5471):1164–1166. doi: 10.1136/bmj.2.5471.1164. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. JOHNSON H. C., WALKER A. E. The angiographic diagnosis of spontaneous thrombosis of the internal and common carotid arteries. J Neurosurg. 1951 Nov;8(6):631–659. doi: 10.3171/jns.1951.8.6.0631. [DOI] [PubMed] [Google Scholar]
  15. Jennett W. B., Cross J. N. Influence of pregnancy and oral contraception on the incidence of strokes in women of childbearing age. Lancet. 1967 May 13;1(7498):1019–1023. doi: 10.1016/s0140-6736(67)91539-5. [DOI] [PubMed] [Google Scholar]
  16. KRAYENBUHL H. Cerebral venous thrombosis; the diagnostic value of cerebral angiography. Schweiz Arch Neurol Psychiatr. 1954;74(1-2):261–287. [PubMed] [Google Scholar]
  17. LEMMI H., LITTLE S. C. Occlusion of intracranial venous structures. A consideration of the clinical and electroencephalographic findings. Arch Neurol. 1960 Sep;3:252–266. doi: 10.1001/archneur.1960.00450030030003. [DOI] [PubMed] [Google Scholar]
  18. LORINCZ A. B., MOORE R. Y. Puerperal cerebral venous thrombosis. Am J Obstet Gynecol. 1962 Feb 1;83:311–319. doi: 10.1016/s0002-9378(16)35837-9. [DOI] [PubMed] [Google Scholar]
  19. Richards D. J. A case of superior longitudinal sinus thrombosis in pregnancy. Postgrad Med J. 1965 Nov;41(481):702–705. doi: 10.1136/pgmj.41.481.702. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. STEVENS H., AMMERMAN H. H. Intracranial venous thrombosis in early pregnancy. Am J Obstet Gynecol. 1959 Jul;78(1):104–108. doi: 10.1016/0002-9378(59)90649-0. [DOI] [PubMed] [Google Scholar]
  21. STEVENS H. Puerperal hemiplegia. Neurology. 1954 Oct;4(10):723–738. doi: 10.1212/wnl.4.10.723. [DOI] [PubMed] [Google Scholar]
  22. STEVENS H. Spontaneous strokes in the young. Ann Intern Med. 1958 Nov;49(5):1022–1034. doi: 10.7326/0003-4819-49-5-1022. [DOI] [PubMed] [Google Scholar]

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