Valvular heart disease during pregnancy: a clinical case and a literature reviewĪcta medica Lituanica: Vol. Vasa praevia: a case report and literature reviewĪcta medica Lituanica: Vol. Migraines during pregnancy are also linked to stroke and vascular diseases. 2 (2019): Acta Medica LituanicaĪcute Diffuse Peritonitis Due to Spontaneous Rupture of an Infected Endometrioma: A Case ReportĪcta medica Lituanica: Vol. Reliable evidence comes from the Womens Health Study, which found that migraine with aura raised the risk of myocardial infarction by 91 and ischemic stroke by 108 and that migraine without aura raised both risks by approximately 25. 4 (2018)įactors affecting the maternal-foetal relationshipĪcta medica Lituanica: Vol. Uterine sarcoma: a clinical case and a literature reviewĪcta medica Lituanica: Vol. It is essential to educate patients, provide information about the safe treatment of migraine attacks, and explain nonpharmacological prevention and supplementation benefits.Ĭhemical peritonitis resulting from spontaneous rupture of a mature ovarian cystic teratoma: a case reportĪcta medica Lituanica: Vol. Pregnant migraineur should be regularly monitored for adverse birth outcomes. 3 Episodic and chronic migraines are part of a spectrum of migraine disorders but are distinct clinical entities 4 (Table 1 3, 4). During the subsequent 4 years, the patient did not experience any recurrent migraine attacks and had no pregnancies.Ĭonclusion. In order to diagnose a migraine during pregnancy, exclusion of secondary headache disorders is mandatory. Migraine headaches may be preceded by aura symptoms. At 40 weeks of gestation the patient delivered female newborn, weighing 3750g, with Apgar scores of 8 and 9 (due to a nuchal cord). The patient was informed about a safe treatment approach in case of an acute attack. The patient was advised to keep a consistent sleep schedule, maintain regular low physical activity, eat regularly and take magnesium supplementation. The patient was investigated for a secondary headache disorder, but laboratory and neuroimaging results were unremarkable. The headache lasted for one day, and dizziness continued to the following day. There is a large body of literature about pre-existing migraine course during pregnancy and its link with adverse pregnancy outcomes, but there are no studies examining these aspects among women with new-onset migraine during pregnancy.Ĭase report. A 31-year-old female at 33 weeks of gestation (gravida 2, para 2) was referred to the neurologist eds disturbances, which were followed by pressing severe headache, rated as 8 out of 10 on a numeric rating scale and accompanied by dizziness. Because pregnancy itself is an independent risk factor for secondary headache disorders, it is mandatory to exclude these conditions in order to diagnose migraine. ![]() This poses a diagnostic challenge in the differential diagnosis between primary and life-threatening secondary headache disorders. ![]() The majority of migraineurs experience improvement during pregnancy, but a few may experience migraine for the first time. Background : Among all headache disorders, migraine has the highest prevalence during gestation.
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