Neurological disorders in pregnancy and puerperium.

Objectives: To study the clinical profile of the patients presenting with neurological disorders during pregnancy and puerperium. Methods: The study was carried out at Father Muller Medical College, Karnataka, India between July 2015 to June 2016. All Patients in pregnancy or post abortal, post partum period attending to the Father Muller Medical College between July 2015 to June 2016 and requiring neurological consultation were included in the study. Results: A total of 52 patients presented during pregnancy and puerperium with neurological disorders. Age of the patients ranged from 19 to 40 years. The total number of deliveries in the hospital during the period was 4285. Among 52 patients, included Epilepsy23 (44.2%), eclampsia-16 (30.76%) Cerebro vascular disorders-2 (3.8%), Central nervous system infections2 (3.8%), CNS tumors – 2 ( 3.8%), Neuropathies5 (9.6%), Metabolic encephalopathy-1(1.9%) and Nutritional encephalopathy -1(1.9%).In patients of epilepsy, the seizures had an equitable distribution in the trimesters and post partum period, were mainly of generalized type (90.9%) and were controlled in the majority (81.81%). Conclusion: The incidence of neurological disorders in pregnancy and puerperium was fairly high. Epilepsy was the most common neurological condition following Eclampsia, CNS infections and Neuropathies. The treating team should have the complete knowledge of the effects of rare neurological disorders during pregnancy and puerperium.