- Neurological symptoms may be exacerbations of existing problems (MS, seizure); initial manifestation of neurological disorder (tumor, stroke) or issue unique to pregnancy (eclampsia, postpartum cerebral angiopathy, Sheehan syndrome and lymphocytic adenohypophysitis.
- ACR Guidance on safe MRI practices states pregnant patients should undergo MRI only if the information cannot be obtained any other way.
- Autoimmune hypophysitis is a rare chronic inflammatory disorder of the pituitary stalk and gland. It is classified by involved portions of the gland.
- Spontaneous or postinstrumentation intracranial hypotension.
- Source Paper
Iodinated CT contrast and Gadolinium contrast agents are acceptable to use, so long as the diagnostic benefit outweighs the risk. CT contrast is category B and Gad is Category C. Usual principles of limiting imaging apply.
More Common and Less Common Neurologic Conditions in Pregnant Patients
More common conditions
Epilepsy and seizure
Infarct- or hemorrhage-related stroke
Less common conditions
Metastasis from choriocarcinoma
Meningioma and glioma