Table 3.
Etiologies of ischemic stroke complicating pregnancy and the puerperium.
Author, year | Mean age, yrs | N° case | Large artery disease | Cardiac disease N° (%) | Coagulopathy N° (%) | Other causes N° (%) | Pre-eclampsia eclampsia N° (%) | Other pregnancy N° (%) | Unkown N° (%) | Notes |
---|---|---|---|---|---|---|---|---|---|---|
Awada et al., 1995 | 30 | 9 | 3 (33%)* | 1(11%)** | 1(11%) | 4(45%) | *2 valvular heart disease, 1 postpartum cardiomyopathy with atrial fibrillation, *Nephrotic syndrome | |||
Sharshar et al., 1995 | 30,2 | 15 | 1(6,6%)* | 1(6,6%)** | 7(47%) | 2(13,2%)*** | 4(26,6%) | *Protein S deficiency; **vertebral artery dissection; ***1 postpartum cerebral angiopathy, 1 amniotic fluid embolism | ||
Kittner et al., 1996 | 27 | 17 | 1 (5,9%)* | 6 (35,3%)** | 4 (23,5%) | 6 (35,3%) | *Mitral valve prolapse; **2 primary CNS vasculopathy, 1 cerebral artery dissection, 1 cerebral venous thrombosis, 1 postherpetic vasculitis, 1 thrombotic thrombocytopenic purpura; | |||
Jiagobin and Silver, 2000 | 30 | 13 | 1 (8%)* | 4 (30,7%)** | 2 (15,3%)*** | 3 (23,1)**** | 6 (46%) | *Carotid artery dissection; *valvular heart disease, coronary artery disease, patent foramen ovale; ***deficiencies of protein C, protein S, activated protein C resistance; ****preeclampsia-eclampsia was considered as a risk factor | ||
Skidmore et al., 2001 | 26,9 | 21 | 5 (23,7%)* | 2 (9,6%)** | 5 (23,7%)*** | 3 (14,4%) | 6 (28,6%) | *1 pedunculated cardiac mass, 2 rheumatic heart disease, 1 valvular heart disease, 1 peripartum cardiomyopathy, **1 protein S deficiency, 1 factor VII anomaly, ***1 cerebral vasculitis, 1 migrainous infarct, 1 mucormycosis, 1 hypotension, 1 thrombotic thrombocytopenic purpura | ||
Jeng et al., 2004 | 28,9 | 16 | 9 (56%)* | 3 (19%)** | 1 (6%)*** | 1(6%) | 2 (13%) | *7 rheumatic heart disease, 2 other heart diseases; **protein S deficiency; ***giant cerebral aneurysm | ||
Liang et al., 2006 | 31,5 | 11 | 1 (9%) | 4 (36%)* | 3 (27%)** | 2 (18%) | 1 (9%)*** | *2 congenital heart disease, 1 rheumatic heart disease, 1 atrial mixoma; **cerebral venous thrombosis; ***amniotic fluid embolism; |