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Lorenzano S, Kremer C, Pavlovic A, Jovanovic DR, Sandset EC, Christensen H, Bushnell C, Arsovska A, Sprigg N, Roffe C, Ijäs P, Gdovinova Z, Alexandrov A, Zedde M, Tassi R, Acciaresi M, Lantz M, Sunnerhagen K, Zarkov M, Rantanen K, Perren F, Iversen HK, Kruuse C, Slowik A, Palazzo P, Korv J, Fromm A, Lovrencic-Huzjan A, Korompoki E, Fonseca AC, Gall SL, Brunner F, Caso V, Sacco S. SiPP (Stroke in Pregnancy and Postpartum): A prospective, observational, international, multicentre study on pathophysiological mechanisms, clinical profile, management and outcome of cerebrovascular diseases in pregnant and postpartum women. Eur Stroke J 2020; 5:193-203. [PMID: 32637653 DOI: 10.1177/2396987319893512] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Accepted: 11/15/2019] [Indexed: 11/17/2022] Open
Abstract
Rationale Cerebrovascular diseases associated with pregnancy and postpartum period are uncommon; however, they can have an important impact on health of both women and foetus or newborn. Aims To evaluate the frequency, characteristics and management of cerebrovascular events in pregnant/postpartum women, to clarify pathophysiological mechanisms underlying the occurrence of these events including biomolecular aspects, and to assess the short- and long-term cerebrovascular and global cardiovascular outcome of these patients, their predictors and infant outcome. Methods and design This is an observational, prospective, multicentre, international case-control study. The study will include patients with cerebrovascular events during pregnancy and/or within six months after delivery. For each included case, two controls will be prospectively recruited: one pregnant or puerperal subject without any history of cerebrovascular event and one non-pregnant or non-puerperal subject with a recent cerebrovascular event. All controls will be matched by age, ethnicity and type of cerebrovascular event with their assigned cases. The pregnant controls will be matched also by pregnancy weeks/trimester. Follow-up will last 24 months for the mother and 12 months for the infant. Summary To better understand causes and outcomes of uncommon conditions like pregnancy/postpartum-related cerebrovascular events, the development of multisite, multidisciplinary registry-based studies, such as the Stroke in Pregnancy and Postpartum study, is needed in order to collect an adequate number of patients, draw reliable conclusions and give definite recommendations on their management.
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Affiliation(s)
- Svetlana Lorenzano
- Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy
| | - Christine Kremer
- Neurology Department, Skåne University Hospital, Malmö, Sweden.,Department of Clinical Sciences, Lund University, Lund, Sweden
| | - Aleksandra Pavlovic
- Neurology Clinic, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | - Dejana R Jovanovic
- Neurology Clinic, Clinical Center of Serbia, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
| | | | | | - Cheryl Bushnell
- Wake Forest Baptist Health, Medical Center Boulevard, Winston Salem, NC, USA
| | - Anita Arsovska
- University Clinic of Neurology, Medical Faculty, University 'Ss Cyril and Methodius', Skopje, Republic of North Macedonia
| | - Nikola Sprigg
- Nottingham University Hospitals NHS Trust, University of Nottingham, Nottingham, UK
| | - Christine Roffe
- Institute for Science and Technology in Medicine, Keele University, c/o Guy Hilton Research Centre, Keele, UK
| | - Petra Ijäs
- Department of Neurology, Helsinki University Hospital, University of Helsinki, Helsinki, Finland
| | - Zuzana Gdovinova
- Department of Neurology, Pavol Jozef Safarik University, Košice, Slovak Republic
| | - Anne Alexandrov
- Department of Neurology, College of Nursing and College of Medicine, University of Tennessee Health Science Center, Memphis, TN, USA
| | - Marialuisa Zedde
- Neurology and Stroke Units, Azienda Unità Sanitaria Locale, IRCCS Reggio Emilia, Italy
| | - Rossana Tassi
- Stroke Unit, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - Monica Acciaresi
- Medicina Interna Vascolare - Stroke Unit, Ospedale Santa Maria della Misericordia, University of Perugia, Perugia, Italy
| | - Maria Lantz
- Neurology Department, Karolinska Institutet, Stockholm, Sweden
| | - Katharina Sunnerhagen
- Department of Neurology and Rehabilitation, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Marija Zarkov
- Clinical Center of Vojvodina, Clinic of Neurology, Novi Sad, Serbia
| | - Kirsi Rantanen
- Department of Neurology, University of Helsinki, Helsinki, Finland
| | - Fabienne Perren
- Neuroscience Center, University of Geneva, Geneva, Switzerland
| | - Helle K Iversen
- Stroke Centre Rigshospitalet, Department of Neurology, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
| | - Christina Kruuse
- Department of Neurology and Neurovascular Research Unit, Herlev Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Agnieszka Slowik
- Department of Neurology, Jagiellonian University, Krakow, Poland
| | - Paola Palazzo
- Department of Neurology, Poitiers University Hospital and University of Poitiers, Poitiers, France
| | - Janika Korv
- Department of Neurology and Neurosurgery, University of Tartu, Tartu, Estonia
| | - Annette Fromm
- Department of Neurology, Haukeland University Hospital, Bergen, Norway
| | | | - Eleni Korompoki
- Division of Brain Sciences, Imperial College London, London, UK.,Department of Clinical Therapeutics, National and Kapodistrian University of Athens, Greece
| | - Ana Catarina Fonseca
- Department of Neurosciences (Neurology), Hospital de Santa Maria, University of Lisbon, Lisbon, Portugal
| | - Seana L Gall
- Menzies Institute for Medical Research Tasmania, University of Tasmania, Hobart, Australia
| | | | - Valeria Caso
- Stroke Unit, Ospedale Santa Maria della Misericordia, University of Perugia, Perugia, Italy
| | - Simona Sacco
- Department of Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy
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