metricas
covid
Buscar en
Clínica e Investigación en Ginecología y Obstetricia
Toda la web
Inicio Clínica e Investigación en Ginecología y Obstetricia Infarto cerebeloso durante el primer trimestre de gestación
Journal Information
Vol. 30. Issue 5.
Pages 167-172 (January 2003)
Share
Share
Download PDF
More article options
Vol. 30. Issue 5.
Pages 167-172 (January 2003)
Full text access
Infarto cerebeloso durante el primer trimestre de gestación
Visits
3867
I. González-Blanco, P.A. Bravo, G. Quesada, A.B. Rodríguez-Bújez, C. Marina, I. Tarancón
Servicio de Obstetricia y Ginecología. Hospital Universitario Río Hortega Valladolid. España
This item has received
Article information
Summary

Cerebral infarction that affects young women is extremely serious, despite its low incidence, with mortality rates of nearly 20%. In the case of a pregnant woman it is a serious injury at as time of maximum personal and family development.

Although theoretically cerebral apoplexy has very varied aethiopathological causes there are many young women in whom the principal cause is never found. The clinical neurological investigation needs to be supported by radiological diagnostic techniques to make an initial diagnosis between ischaemic or haemorrhage pathology.

Cranial tomography will be indicated by the same criteria as in non pregnant patients, without threatening embryonic or foetal viability. The dosage of radiation used does not endanger foetal well-being, and it should help us try to predict maternal prognosis and to establish the most appropriate therapy.

Resumen

El infarto cerebral que acontece en mujeres jóvenesno por tener una baja incidencia deja de resultar deextremada gravedad, ya que presenta tasas de mortalidad cercanas al 20%. En el caso de que la mujer seencuentre gestante, se originará un importante menoscabo de salud durante un período de máximo desarrollo personal y familiar.

Aunque teóricamente la apoplejía cerebral responde a muy variadas causas etiopatogénicas, son muchos los casos en mujeres jóvenes en que no se lograestablecer con certeza la razón principal.

La exploración clínica neurológica necesita apoyarse en técnicas de diagnóstico radiológico para discriminar inicialmente entre factores con una patogeniaisquémica o hemorrágica.

La tomografía craneal debe indicarse con los mismos criterios que en otras pacientes no embarazadas,sin que por ello resulte dañada la viabilidad embrionaria o fetal. La dosis de radiación emitida no suponeponer en peligro el bienestar fetal y sí puede aportardatos que nos ayuden a intentar predecir un pronóstico materno y establecer la terapéutica más apropiada.

Full text is only aviable in PDF
Bibliografía
[1.]
GA Simolke, SM Cox, FG. Cunningham.
Cerebrovascular accidents complicating pregnancy and the puerperium.
Obstet Gynecol, 78 (1991), pp. 37-42
[2.]
P Salmerón, JM MoltóJorda, R Villaverde, FA Morales-Ortiz, A Martínez-García, Barreiro A. Fernández-.
Patología vascular cerebral en mujeres jóvenes.
Rev Neurol, 25 (1997), pp. 1003-1007
[3.]
M. Raichle.
The pathophysiology of brain ischemia.
Ann Neurol, 13 (1983), pp. 2-10
[4.]
F Barinagarrementeria, LE Amaya, C. Cantu.
Causes and mechanisms of cerebellar infarctation in young patients.
Stroke, 28 (1997), pp. 2400-2404
[5.]
PC Hannaford, P Croft, C. Kay.
Oral contraception and stroke. Evidence from Royal College of General Practitioners Oral Contraception Study.
Stroke, 25 (1994), pp. 935-942
[6.]
C Tzourio, A Tehindrazanarivelo, S Iglesias, A Alperovitchy, P. Chedru.
Case-control study of migraine and risk of ischemic stroke in young women.
Br Med J, 310 (1995), pp. 830-833
[7.]
WHO Collaborative Study of Cardiovascular Disease and Steroid Hormone Contraception.
Ischaemic stroke and combined oral contraceptives: results of and international, multicentre, case-control study.
Lancet, 348 (1996), pp. 498-505
[8.]
Committee on Biological Effects of Ionizing Radiation, National Research Council.
Other somatic and fetal effects.
[9.]
MW Ragosino, R Breckle, LM Hill, JE. Gray.
Average fetal depth in utero: Data for estimation of fetal absorbed radiation dose.
[10.]
AS Garden, RD Griffiths, AM Weindling, PA. Martin.
Fastscan magnetic resonance imaging in fetal visualization.
Obstet Gynecol, 164 (1991), pp. 1190
Copyright © 2003. Elsevier España, S.L.. Todos los derechos reservados
Download PDF
Article options
es en pt

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos