Abstract
Based on a structured questionnaire and medical records, the authors found that 12 of 25 mothers with cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) with the R133C NOTCH3 mutation had had neurologic symptoms in 17 of their 43 pregnancies, most commonly hemiparesthesia (76%), hemiparesis (36%), aphasia (65%), and visual disorders (47%). In 82% of the patients, the symptoms were the first manifestation of CADASIL. The symptoms were most common during puerperium and in patients older than age 30.
MeSH terms
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Adult
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Aphasia / epidemiology
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Brain / blood supply
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Brain / pathology
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Brain / physiopathology
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Brain Ischemia / epidemiology
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Brain Ischemia / physiopathology*
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CADASIL / epidemiology
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CADASIL / genetics
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CADASIL / physiopathology*
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Cerebral Arteries / pathology
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Cerebral Arteries / physiopathology
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Cohort Studies
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Comorbidity
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Cross-Sectional Studies
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Female
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Finland / epidemiology
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Humans
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Paresis / epidemiology
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Paresthesia / epidemiology
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Postpartum Period
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Pre-Eclampsia / epidemiology
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Pregnancy
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Pregnancy Complications / epidemiology
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Pregnancy Complications / physiopathology*
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Retrospective Studies
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Surveys and Questionnaires
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Vision Disorders / epidemiology