[Pregnancy and acute ischemic stroke].

Area of Science:

• Neurology
• Obstetrics
• Vascular Medicine

Context:

• Pregnancy-related ischemic strokes significantly impact maternal and fetal health.
• Hemostatic, hemodynamic, and pregnancy-specific risk factors elevate stroke risk during gestation and postpartum.
• Teratogenic concerns complicate stroke diagnostics, acute treatment, and prevention.

Purpose:

• To highlight the challenges in managing ischemic stroke during pregnancy.
• To emphasize the need for better diagnostic and therapeutic strategies.
• To advocate for a multicenter registry for gestational stroke patients.

Summary:

• Ischemic strokes during pregnancy are a major cause of maternal and fetal morbidity and mortality.
• Management is complex due to hemostatic/hemodynamic changes and teratogenic risks.
• Individualized treatment involving experts is crucial in the absence of randomized trials.

Impact:

• Highlights the critical need for specialized care in gestational stroke.
• Underscores the importance of developing evidence-based guidelines for stroke management in pregnancy.
• Stresses the value of multicenter registries for advancing research and improving patient outcomes.