Neurological problems in pregnancy

Neurological disorders are common in women of childbearing age and are an important cause of morbidity and mortality in pregnancy. The natural history of these disorders may be influenced by pregnancy itself. Some may even present for the first time, and their investigation and management may be complicated by concerns for the safety of both mother and child. An overview of three of the commonest disorders is provided. The aetiology, investigation and management of cerebrovascular disease and headaches are discussed. The course of epilepsy, potential complications and management is discussed. This information can provide a basis for counselling women with neurological conditions who are pregnant or planning a pregnancy.