Stroke in pregnancy and the puerperium.

Abstract:

:Stroke is a recognised complication of pregnancy, contributing to more than 12% of all maternal deaths. Estimated incidence rates vary considerably from 4.3 to 210 strokes per 100,000 deliveries. Atherosclerosis is rare in young adults, and so other causes of stroke become increasingly likely. Aetiological factors important in pregnancy include hypercoagulability due to maternal physiological changes, pre-eclampsia and eclampsia, cerebral venous thrombosis, paradoxical embolism, postpartum cerebral angiopathy and peripartum cardiomyopathy. Management of patients with pregnancy-related stroke should generally proceed as for non-pregnant patients, although there are a number of important areas specific to pregnancy which will be considered here.

journal_name

Postgrad Med J

authors

Treadwell SD,Thanvi B,Robinson TG

doi

10.1136/pgmj.2007.066167

subject

Has Abstract

pub_date

2008-05-01 00:00:00

pages

238-45

issue

991

eissn

0032-5473

issn

1469-0756

pii

84/991/238

journal_volume

84

pub_type

杂志文章,评审
  • Complex gynaecological and urological problems in adolescents: challenges and transition.

    abstract::The diagnosis and early management of genitourinary disorders in children is challenging for the child, parents and carers. There have been enormous developments in paediatric care medically and surgically and as a result many patients with complex anomalies reach adult life and have a normal desire for a good quality...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2012-131232

    authors: Creighton SM,Wood D

    更新日期:2013-01-01 00:00:00

  • Republished original research: Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.

    abstract:INTRODUCTION:Rapid response systems (RRSs) have been introduced to facilitate effective 'rescue' of seriously ill patients on hospital wards. While research has demonstrated some benefit, uncertainty remains regarding impact on patient outcomes. Little is known about the relationship between social contexts and the app...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj-2011-000147rep

    authors: Mackintosh N,Rainey H,Sandall J

    更新日期:2012-05-01 00:00:00

  • Life-threatening acute hyponatraemia induced by low dose cyclophosphamide and indomethacin.

    abstract::We report the case of a patient with multiple myeloma who developed acute life-threatening water intoxication following treatment with oral indomethacin and low dose intravenous cyclophosphamide. We describe a possible drug interaction between these two drugs and recommend that they should only be used together with c...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.65.770.950

    authors: Webberley MJ,Murray JA

    更新日期:1989-12-01 00:00:00

  • Galactorrhoea and pituitary mass: a typical prolactinoma?

    abstract::A 21 year old woman presenting with galactorrhoea, hyperprolactinaemia, and a pituitary mass on magnetic resonance imaging (MRI) is described who was referred to us before planned pituitary surgery. Although a thorough history did not suggest hypothyroidism, laboratory studies revealed profound primary hypothyroidism....

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.76.894.232

    authors: Brändle M,Schmid C

    更新日期:2000-04-01 00:00:00

  • Community-acquired bacteraemic Acinetobacter pneumonia with survival.

    abstract::A 65 year old man was admitted with segmental consolidation of the left upper lobe after having stayed in a hotel for 2 days. He deteriorated rapidly on conventional antibiotic therapy and required ventilatory support. Acinetobacter calcoaceticus var. anitratus was grown from the sputum and blood cultures, which was t...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.69.818.934

    authors: Achar KN,Johny M,Achar MN,Menon NK

    更新日期:1993-12-01 00:00:00

  • Comparative trials of cefaclor AF in uncomplicated cystitis and asymptomatic bacteriuria.

    abstract::Two different doses of cefaclor advanced formulation (AF), a new sustained-release formulation of cefaclor, were compared with the regular formulation of cefaclor for efficacy and safety in the treatment of uncomplicated cystitis and asymptomatic bacteriuria. A 7-day course of treatment was used, and the trials were d...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Hamilton-Miller JM,Iravani A,Brumfitt W,Byers KS,Dere WH

    更新日期:1992-01-01 00:00:00

  • Missed Addisonian crisis in surgical wards.

    abstract::Three women were admitted to the surgical wards with acute gastro-intestinal symptoms and despite good clinical (pigmentation, hypotension) and biochemical (hyponatraemia, acidosis) evidence of Addisonian crisis had unnecessary investigations with delay in the diagnosis and appropriate management of this medical emerg...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.739.367

    authors: Small M,MacCuish AC,Thomson JA

    更新日期:1987-05-01 00:00:00

  • Severe dothiepin intoxication--a report of two cases.

    abstract::Two patients with severe dothiepin intoxication are described. The management of these cases is discussed and we draw attention to the prolonged elimination half-life of dothiepin and its metabolites, and the implication for treatment. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.60.704.442

    authors: Bloodworth L,Wilson A,Collins P,Rainford DJ

    更新日期:1984-06-01 00:00:00

  • Continuous electrocardiographic recording (Holter method) during indapamide treatment: a study of 40 cases.

    abstract::In 40 hypertensive patients continuous ECG recording was done before and after 30 days treatment with indapamide 2.5 mg. There was no change in heart rate. In addition, the incidence of extrasystoles was not changed in patients in whom the ECG was normal before treatment (30 cases) or in 8 of the 10 patients who had a...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:

    authors: Haiat R,Lellouch A,Lanfranchi J,Witchitz S

    更新日期:1981-01-01 00:00:00

  • Optimising clinical performance during resuscitation using video evaluation.

    abstract::Video evaluation of resuscitation is becoming increasingly integrated into practice in a number of clinical settings. The purpose of this review article is to examine how video may enhance clinical care during resuscitation. As healthcare and available therapeutic interventions evolve, re-evaluation of accepted paradi...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2016-134357

    authors: Lowe DJ,Dewar A,Lloyd A,Edgar S,Clegg GR

    更新日期:2017-08-01 00:00:00

  • Quality of life and alteration in comorbidity following laparoscopic adjustable gastric banding.

    abstract:OBJECTIVES:Obesity is an increasing problem in the UK and bariatric surgery is likely to increase in volume in the future. While substantial weight loss is the primary outcome following bariatric surgery, the effect on obesity-related morbidity, mortality and quality of life (QOL) is equally important. This study repor...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.2006.055558

    authors: Titi M,Jenkins JT,Modak P,Galloway DJ

    更新日期:2007-07-01 00:00:00

  • Is antibiotic resistance a problem? A practical guide for hospital clinicians.

    abstract::Antibiotic resistance is an important concern for patients, physicians, healthcare managers, and policymakers. Inappropriate antimicrobial prescribing fuels the evolution of resistance, while poor basic hygiene facilitates the spread of resistant microbes between patients and healthcare staff. The development of infec...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2005.035113

    authors: Barlow G,Nathwani D

    更新日期:2005-11-01 00:00:00

  • A case of multiple endocrine adenomatosis with primary amenorrhoea.

    abstract::A well documented sporadic case of multiple endocrine adenomatosis (MEA) type I, with the pituitary tumour presenting as a prolactinoma, is described in a 28-year-old female. Primary amenorrhoea, resulting from hyperprolactinaemia, was the first symptom of the polyglandular neoplasia. A gastrinoma was removed from the...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.54.635.618

    authors: Vandeweghe M,Braxel K,Schutyser J,Vermeulen A

    更新日期:1978-09-01 00:00:00

  • Severe thiazide-induced hyponatraemia during treatment with enalapril.

    abstract::A patient is described who developed mild hyponatraemia on two occasions when treated with bendrofluazide alone, but severe hyponatraemia when treated with the combination of enalapril and bendrofluazide. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.63.746.1105

    authors: Collier JG,Webb DJ

    更新日期:1987-12-01 00:00:00

  • Prognostic indicators and generation of novel risk equations for estimation of 10-year and 20-year mortality following acute coronary syndrome.

    abstract:OBJECTIVES:Although risk assessment is an integral part of management, there are currently no risk calculators of long-term mortality after acute coronary syndrome (ACS). The aim was to provide risk equations for 10-year and 20-year mortality following ACS. METHODS:Patients hospitalised with ACS from December 1990 to ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/postgradmedj-2016-134129

    authors: Magri CJ,Debono R,Calleja N,Galea J,Fava S

    更新日期:2017-05-01 00:00:00

  • Closure of traumatic wounds without cleaning and suturing.

    abstract:BACKGROUND:In less than ideal situations wounds have to be closed without extensive cleaning using sterile adhesive strips (Steristrips). This prospective analyses the efficiency of this technique and compares it to the more conventional approach. METHODS:Altogether 147 lacerations were closed with sterile strips with...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.78.919.281

    authors: Maharaj D,Sharma D,Ramdass M,Naraynsingh V

    更新日期:2002-05-01 00:00:00

  • Anabolic steroid induced hypogonadism treated with human chorionic gonadotropin.

    abstract::A case is presented of a young competitive body-builder who abused anabolic steroid drugs and developed profound symptomatic hypogonadotrophic hypogonadism. With the help of prescribed testosterone (Sustanon) he stopped taking anabolic drugs, and later stopped Sustanon also. Hypogonadism returned, but was successfully...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.74.867.45

    authors: Gill GV

    更新日期:1998-01-01 00:00:00

  • Eosinophilic fasciitis with pulmonary and pleural involvement.

    abstract::We report a case of eosinophilic fasciitis, with the unusual features of pulmonary and pleural involvement. Similar cases which involve the lungs have been reported after exposure to L-tryptophan, but there is no relevant drug history in this case. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pmj.76.891.36

    authors: Killen JW,Swift GL,White RJ

    更新日期:2000-01-01 00:00:00

  • Interventions for smoking cessation in patients admitted with Acute Coronary Syndrome: a review.

    abstract::Tobacco smoking contributes to about six million deaths per year and is predicted to increase in the future. Several pharmacological interventions are used for smoking cessation. Trials using nicotine replacement therapy (NRT) in acute coronary syndrome (ACS) showed inconclusive results. Furthermore, three trials usin...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2017-135040

    authors: Chehab OM,Dakik HA

    更新日期:2018-02-01 00:00:00

  • Do questions help? The impact of audience response systems on medical student learning: a randomised controlled trial.

    abstract:BACKGROUND:Audience response systems (ARSs) are electronic devices that allow educators to pose questions during lectures and receive immediate feedback on student knowledge. The current literature on the effectiveness of ARSs is contradictory, and their impact on student learning remains unclear. OBJECTIVES:This rand...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/postgradmedj-2014-132987

    authors: Mains TE,Cofrancesco J Jr,Milner SM,Shah NG,Goldberg H

    更新日期:2015-07-01 00:00:00

  • Cefaclor compared with amoxycillin acute otitis media with effusion: a preliminary report.

    abstract::A double-blind, randomized clinical trial comparing cefaclor with amoxycillin in the treatment of acute otitis media with effusion (OME) in infants and children is being conducted at Children's Hospital of Pittsburgh. Although the randomization code has not yet been broken, the results of treating the first 55 childre...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bluestone CD,Beery QC,Michaels RH,Zanotti ML,Stool SE,Grundfast KM,Wright CM,Mandel EM

    更新日期:1979-01-01 00:00:00

  • Cardiac troponin: more than meets the eye.

    abstract::Exercise is known to have a vast array of health benefits. It may however confer delirious effects on most body systems, with the cardiovascular system taking particular prominence. Athletes in particular are known to be at a higher risk for sudden cardiac death as a result of several cardiac adaptations which take pl...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/postgradmedj-2017-134984

    authors: Abela M,Sammut L

    更新日期:2017-12-01 00:00:00

  • Congenital and acquired conditions of the aortic root: multidetector computed tomography features.

    abstract::The aortic root links the left ventricle and ascending aorta and functions as a support structure for the aortic valve. It can be affected by a variety of congenital and acquired conditions, some of which are potentially life threatening. Echocardiography and cardiac magnetic resonance imaging are established non-inva...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2008.075531

    authors: Vargas HA,Hoey ET,Gopalan D,Agrawal SK,Screaton NJ,Gulati GS

    更新日期:2009-07-01 00:00:00

  • Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality of care?

    abstract:BACKGROUND:Previous research has shown that sicker patients are less satisfied with their healthcare, but specific effects of adverse health outcomes have not been investigated. The present study aimed to assess whether patients who experience adverse outcomes, in hospital or after discharge, differ in their evaluation...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/qshc.2006.021071

    authors: Marang-van de Mheen PJ,van Duijn-Bakker N,Kievit J

    更新日期:2008-02-01 00:00:00

  • Cerebellar disturbance in psittacosis.

    abstract::A previously fit man developed psittacosis with marked cerebellar symptoms and signs. He was febrile but not confused, and he responded rapidly to treatment with erythromycin. Even if respiratory symptoms are minimal, psittacosis and other atypical pneumonias should be considered in any patient presenting with fever a...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.64.751.382

    authors: Shee CD

    更新日期:1988-05-01 00:00:00

  • The features and aetiology of Fournier's gangrene.

    abstract::This paper reports a clinical study of 20 cases of gangrenous ulcers of the scrotum and/or of the penis (Fournier's gangrene) and a review of previous publications. Even though found mostly in elderly male patients, the disease spares no age group and can involve the external genitalia in neonates and women as well. T...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.70.826.568

    authors: Efem SE

    更新日期:1994-08-01 00:00:00

  • Secondary hypertension: a condition not to be missed.

    abstract::Hypertension is a chronic disorder which often entails debilitating cardiovascular and renal complications. Hypertension mostly arises as a complex quantitative trait that is affected by varying combinations of genetic and environmental factors. Secondary hypertension has been encountered with increasing frequency. Th...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2011.118661

    authors: Sukor N

    更新日期:2011-10-01 00:00:00

  • Use of an emulsion formulation of propofol ('Diprivan') in intravenous anaesthesia for termination of pregnancy. A comparison with methohexitone.

    abstract::The use of an emulsion formulation of 2,6-diisopropylphenol (propofol) for induction and maintenance of anaesthesia was compared with methohexitone in 60 patients undergoing termination of pregnancy. In the dosages chosen the two agents appeared to be equi-potent. Propofol was associated with a statistically significa...

    journal_title:Postgraduate medical journal

    pub_type: 临床试验,杂志文章

    doi:

    authors: Cundy JM,Arunasalam K

    更新日期:1985-01-01 00:00:00

  • Strangulated femoral hernia: the persisting clinical trap.

    abstract::Five cases of strangulated femoral hernia, all with a delay in establishing the diagnosis, are reported here. These cases illustrate the continuing difficulties experienced, both in primary care and hospital practice, in making this diagnosis despite the clinical awareness of this condition. ...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章

    doi:10.1136/pgmj.67.783.57

    authors: Heys SD,Brittenden J

    更新日期:1991-01-01 00:00:00

  • Chronic hepatitis B in hepatocarcinogenesis.

    abstract::Hepatocellular carcinoma (HCC) is the fifth most common cancer in the world, and has a wide geographical variation. Eighty per cent of HCC is attributed to hepatitis B virus (HBV). The predominant carcinogenic mechanism of HBV associated HCC is through the process of liver cirrhosis, but direct oncogenic effects of HB...

    journal_title:Postgraduate medical journal

    pub_type: 杂志文章,评审

    doi:10.1136/pgmj.2006.047431

    authors: Park NH,Song IH,Chung YH

    更新日期:2006-08-01 00:00:00