Neurological Diseases and Pregnancy. A Coordinated Care Model for Best Management

List of Contributors
Section 1 Reproductive Issues in Women with Neurologic Disease
Chapter 1 General Approach to Pregnancy Care in the Neurologic Patient
Chapter 2 Pregnancy Saftey and Termination
Chapter 3 Contraception Options in Neurologic Disease
Chapter 4 Pregnancy Physiology - Immune and Nervous Systems
Chapter 5 Fetal imaging for the neurologist
Chapter 6 Prenatal Genetics for women with neurology disease: Pregnancy, preimplantation, and newborn screening
Chapter 7 Radiation Exposure and Neuroimaging During Pregnancy
Chapter 8 Cognitive Changes in Pregnancy
Chapter 9 Principles of Reproductive Healthcare in Chronic Neurologic Disease
Section 2 Neurologic Disorder in Pregnancy
Chapter 10 Immune-mediated Disorders of the Central Nervous System
Chapter 11 Neurologic Infections in Pregnancy
Chapter 12 Headache: Migraine, Pseudotumor Cerebri Syndrome, and Postnatal
Chapter 13 Traumatic Brain Injury and Pregnancy
Chapter 14 Ischemic Stroke Management in Pregnancy
Chapter 15 Stroke: Intracranial Hemorrhage
Chapter 16 Management of Intracranial Vascular Lesions During Pregnancy
Chapter 17 Cerebral Venous Thrombosis
Chapter 18 Brain Tumors in Pregnancy
Chapter 19 Movement Disorders in Pregnancy
Section 3 Delivery
Chapter 20 Pregnancy and Epilepsy
Chapter 21 Seizure Medications Effects on Fetus, Neonate, and Lactation
Chapter 22 Postpartum Care for Women with Epilepsy
Chapter 23 Sleep Disorders and Pregnancy
Section 4 Postpartum
Chapter 24 Pregnancy in Myasthenia gravis
Chapter 25 Charcot-Marie-Tooth Disease and Pregnancy
Chapter 26 Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy
Chapter 27 Entrapment Neuropathy and Pregnancy
Chapter 28 Neurocutaneous Disorders in Pregnancy
Chapter 29 Spinal Cord injury in Pregnancy
Chapter 30 Inherited Metabolic Diseases (IMDs) And Pregnancy
Section 5 Menopause
Chapter 31 Approach to Delivery in the Patient with Neurologic Disease
Chapter 32 Anesthetic Considerations for Neurologic Patients
Chapter 33 Neurologic Complications in Obstetric Anesthesia
Chapter 34 Entrapment Neuropathy and Pregnancy
Chapter 35 Breastfeeding in the Context of Neurological Disorders

• Brings together experts across the disciplines of maternal fetal medicine, neurology, obstetrics, family planning, genetics, anesthesia, psychiatry, neurosurgery, and lactation
• Each chapter provides a detailed care map on each unique disorder
• Comprehensive guide on best care for patients with neurologic disease before, during, and after pregnancy

For a woman of reproductive age, any medical appointment is a pre-conception visit and an opportunity to address pre-existing conditions that affect pregnancy and the maternal-fetal dyad. However, many neurologic conditions are rarely seen in pregnancy, and limited experience and knowledge may prevent the team from developing a shared approach to these complex conditions during pregnancy.

Neurological Diseases and Pregnancy: A Coordinated Care Model for Best Management brings together experts across the disciplines of maternal fetal medicine, neurology, obstetrics, family planning, genetics, anesthesia, psychiatry, neurosurgery, and lactation to provide a multi-disciplinary, comprehensive, protocol-driven guide on best care for patients with neurologic disease before, during and after pregnancy. Each chapter provides a detailed care map on each unique disorder, and discusses the use of neurological medications during pregnancy and in lactation. Through this multi-disciplinary approach clinicians can navigate the complexities of preconception and pregnancy care, and help to optimize outcomes for the mother-infant dyad. Beyond pregnancy care, this volume further serves as a resource on best care for the life-course of women affected by neurologic disease including pre-pregnancy planning, genetic counseling, contraception, and sexuality in neurologic disease, as well as post-partum depression and menopausal neurologic changes.

Dr. Emma Ciafaloni received her medical degree from the University of Milano, Italy, and completed her neurology residency and neuromuscular fellowship at Duke. Her clinical research focuses on experimental therapeutics and clinical trials in pediatric and adult neuromuscular disease and she has a special interest in pregnancy outcome in rare neuromuscular diseases. Dr. Cheryl Bushnell received her medical degree from Medical College of Wisconsin, and completed her neurology residency at Duke University. She received her master's of clinical research and completed a cerebrovascular research fellowship at Duke, as well. Her career has been dedicated to stroke in women, with a special emphasis on stroke in pregnancy. She is currently Professor of Neurology at Wake Forest Baptist Health and Director of the Wake Forest Baptist Comprehensive Stroke Center. Dr. Loralei Thornburg received her medical degree from Wayne State in Detroit, and completed her residency and

fellowship at University of Rochester. Her career has been dedicated to care of high risk women during pregnancy, including education of fellows and residents regarding optimal care of these women and their families. She is currently an Associate Professor of Ob/Gyn at University of Rochester Medical Center, where she directs both the Maternal-Fetal Medicine division and fellowship.