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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.<\/jats:p>","DOI":"10.1136\/pgmj.2007.066167","type":"journal-article","created":{"date-parts":[[2008,5,28]],"date-time":"2008-05-28T17:40:06Z","timestamp":1211996406000},"page":"238-245","source":"Crossref","is-referenced-by-count":109,"title":["Stroke in pregnancy and the puerperium"],"prefix":"10.1093","volume":"84","author":[{"given":"S D","family":"Treadwell","sequence":"first","affiliation":[{"name":"Department of Integrated Medicine, University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary , Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Thanvi","sequence":"additional","affiliation":[{"name":"South Warwickshire Hospital , Warwick, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T G","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Medicine for the Elderly, University Hospitals of Leicester NHS Trust, Leicester General Hospital , Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2008,5,28]]},"reference":[{"key":"2023041909444808200_bib1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/S0733-8619(18)30236-6","article-title":"Ischaemic stroke in patients under age 45","volume":"10","author":"Bogoussalavsky","year":"1992","journal-title":"Neurol Clin"},{"key":"2023041909444808200_bib2","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1161\/01.STR.0000068410.07397.D7","article-title":"Sex differences in the clinical presentation, resource use, and 3-month outcome of acute stroke in Europe. 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