- Foreword
- Contributors
- 1 General Approach to Pregnancy Care in the Neurologic Patient
- 2 Pregnancy Safety and Termination
- 3 Contraception Options in Neurologic Disease
- 4 Pregnancy Physiology
- 5 Fetal Imaging for the Neurologist
- 6 Prenatal Genetics for Women with Neurology Disease
- 7 Radiation Exposure and Neuroimaging During Pregnancy
- 8 Cognitive Changes in Pregnancy
- 9 Principles of Reproductive Healthcare in Chronic Neurologic Disease
- 10 Immune-mediated Disorders of the Central Nervous System
- 11 Neurologic Infections in Pregnancy
- 12 Headache
- 13 Traumatic Brain Injury and Pregnancy
- 14 Ischemic Stroke Management in Pregnancy
- 15 Hemorrhagic Stroke Management in Pregnancy
- 16 Management of Intracranial Vascular Lesions During Pregnancy
- 17 Cerebral Venous Thrombosis
- 18 Brain Tumors in Pregnancy
- 19 Movement Disorders in Pregnancy
- 20 Pregnancy and Epilepsy
- 21 Seizure Medications Effects on Fetus, Neonate, and Lactation
- 22 Postpartum Care for Women with Epilepsy
- 23 Sleep Disorders and Pregnancy
- 24 Neuromuscular Diseases
- 25 Charcot-Marie-Tooth Disease and Pregnancy
- 26 Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
- 27 Entrapment Neuropathy and Pregnancy
- 28 Neurocutaneous Disorders in Pregnancy
- 29 Spinal Cord Injury in Pregnancy
- 30 Inherited Metabolic Diseases (IMDs) and Pregnancy
- 31 Approach to Delivery in the Patient with Neurologic Disease
- 32 Anesthetic Considerations for Neurologic Patients
- 33 Neurologic Complications in Obstetric Anesthesia
- 34 Perinatal Depression in Neurological Disease and Disability
- 35 Breastfeeding in the Context of Neurological Disorders
- Index
(p. 105) Headache: Migraine, Pseudotumor Cerebri Syndrome, and Postnatal Headache
- Chapter:
- (p. 105) Headache: Migraine, Pseudotumor Cerebri Syndrome, and Postnatal Headache
- Author(s):
Deborah I. Friedman
, Shamin Masrour
, and Susan Hutchinson
- DOI:
- 10.1093/med/9780190667351.003.0012
In most cases, women with headache disorders have normal pregnancy and delivery outcomes and should not be discouraged from becoming pregnant. Pre-pregnancy planning includes weaning of contraindicated medications. Most women with migraine without aura improve during pregnancy. Although there are limitations, various acute and preventive treatments may be employed, including non-pharmacologic options. Anti-epileptic medications should be avoided. For pseudotumor cerebri, the mainstay of treatment includes diuretics and therapeutic lumbar punctures, avoiding topiramate. Surgical treatment may be necessary if vision is threatened. Close monitoring and collaboration between an ophthalmologist, neurologist and obstetrician are critical. New-onset pseudotumor cerebri requires an investigation for secondary causes such as cerebral venous thrombosis. In the absence of a pre-existing primary headache disorder, new headaches in the postnatal period warrant evaluation for secondary headache disorders, including post-dural puncture headache, stroke, cerebral venous thrombosis, pre-eclampsia, eclampsia, reversible cerebral vasoconstriction syndrome (RCVS), and pituitary apoplexy.
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- Foreword
- Contributors
- 1 General Approach to Pregnancy Care in the Neurologic Patient
- 2 Pregnancy Safety and Termination
- 3 Contraception Options in Neurologic Disease
- 4 Pregnancy Physiology
- 5 Fetal Imaging for the Neurologist
- 6 Prenatal Genetics for Women with Neurology Disease
- 7 Radiation Exposure and Neuroimaging During Pregnancy
- 8 Cognitive Changes in Pregnancy
- 9 Principles of Reproductive Healthcare in Chronic Neurologic Disease
- 10 Immune-mediated Disorders of the Central Nervous System
- 11 Neurologic Infections in Pregnancy
- 12 Headache
- 13 Traumatic Brain Injury and Pregnancy
- 14 Ischemic Stroke Management in Pregnancy
- 15 Hemorrhagic Stroke Management in Pregnancy
- 16 Management of Intracranial Vascular Lesions During Pregnancy
- 17 Cerebral Venous Thrombosis
- 18 Brain Tumors in Pregnancy
- 19 Movement Disorders in Pregnancy
- 20 Pregnancy and Epilepsy
- 21 Seizure Medications Effects on Fetus, Neonate, and Lactation
- 22 Postpartum Care for Women with Epilepsy
- 23 Sleep Disorders and Pregnancy
- 24 Neuromuscular Diseases
- 25 Charcot-Marie-Tooth Disease and Pregnancy
- 26 Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
- 27 Entrapment Neuropathy and Pregnancy
- 28 Neurocutaneous Disorders in Pregnancy
- 29 Spinal Cord Injury in Pregnancy
- 30 Inherited Metabolic Diseases (IMDs) and Pregnancy
- 31 Approach to Delivery in the Patient with Neurologic Disease
- 32 Anesthetic Considerations for Neurologic Patients
- 33 Neurologic Complications in Obstetric Anesthesia
- 34 Perinatal Depression in Neurological Disease and Disability
- 35 Breastfeeding in the Context of Neurological Disorders
- Index