Special Circumstances
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<< An Evidence-Based Approach To Diagnosis And Management Of Subarachnoid Hemorrhage In The Emergency Department (Stroke CME)

Special Circumstances

Acute headache in pregnant or postpartum women requires additional understanding and expansion of the differential diagnosis. As pregnancy and the acute postpartum period represent hypercoagulable states, emergency clinicians should strongly consider ischemic stroke and cerebral venous thrombosis. Other etiologies more common in the peripartum period that may present with headache are reversible cerebral vasoconstriction syndrome, pre-eclampsia, and posterior reversible encephalopathy syndrome.

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