Which clinical history findings suggest a cerebrovascular event during pregnancy?

Updated: Nov 08, 2018
  • Author: Carmel Armon, MD, MSc, MHS; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

Answer

Obtaining a history and performing a physical examination are important aspects of evaluating the type of cerebrovascular event that may have occurred. Important historical points include pain (eg, headache or neck pain), trauma, fluctuating neurologic symptoms, seizures, mental status changes, recent fevers, and drug use.

A complete history should include a medical history of previous stroke or risk factors for stroke, spontaneous abortions, collagen vascular disease, and a family history. In addition, a history of complications that developed during the current and previous pregnancies should be obtained. The patient should undergo a complete physical examination, including funduscopic, cardiovascular, skin, and full neurologic examinations.


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