Evidence map›Paper›PMID 26918201›Full record

ArticleNeurology. Clinical practice2016

Mechanisms and outcomes of stroke during pregnancy and the postpartum period: A cross-sectional study.

Eliza C Miller, Shadi Yaghi, Amelia K Boehme, Joshua Z Willey, Mitchell S V Elkind, Randolph S Marshall

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Incidence, predictors, types and outcome of Post-Partum stroke: A population based study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Postpartum Acute Basilar Artery Occlusion Secondary to Vertebral Artery Dissection. Case Report and Literature Review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2021
    Article
  10. Review
  11. Review
  12. Postpartum Hypertension.Current hypertension reports · 2020
    Review
  13. Stroke in Pregnancy: A Focused Update.Anesthesia and analgesia · 2020
    Review
  14. Review
  15. Maternal Stroke: an Update.Current atherosclerosis reports · 2019
    Review
  16. Sex differences in stroke: Challenges and opportunities.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2018
    Review
  17. Causes and Treatment of Acute Ischemic Stroke During Pregnancy.Current treatment options in neurology · 2018
    Review
  18. Pregnancy-Associated Stroke.Journal of midwifery & women's health · 2018
    Review
  19. Stroke in women - from evidence to inequalities.Nature reviews. Neurology · 2017
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Eliza C MillerDepartment of Neurology (ECM, SY, AKB, JZW, MSVE, RSM), College of Physicians and Surgeons, and Department of Epidemiology (AKB, MSVE), Mailman School of Public Health, Columbia University, New York, NY.
Shadi YaghiDepartment of Neurology (ECM, SY, AKB, JZW, MSVE, RSM), College of Physicians and Surgeons, and Department of Epidemiology (AKB, MSVE), Mailman School of Public Health, Columbia University, New York, NY.
Amelia K BoehmeDepartment of Neurology (ECM, SY, AKB, JZW, MSVE, RSM), College of Physicians and Surgeons, and Department of Epidemiology (AKB, MSVE), Mailman School of Public Health, Columbia University, New York, NY.
Joshua Z WilleyDepartment of Neurology (ECM, SY, AKB, JZW, MSVE, RSM), College of Physicians and Surgeons, and Department of Epidemiology (AKB, MSVE), Mailman School of Public Health, Columbia University, New York, NY.
Mitchell S V ElkindDepartment of Neurology (ECM, SY, AKB, JZW, MSVE, RSM), College of Physicians and Surgeons, and Department of Epidemiology (AKB, MSVE), Mailman School of Public Health, Columbia University, New York, NY.
Randolph S MarshallDepartment of Neurology (ECM, SY, AKB, JZW, MSVE, RSM), College of Physicians and Surgeons, and Department of Epidemiology (AKB, MSVE), Mailman School of Public Health, Columbia University, New York, NY.
New York College of Health Professions · US

Funding

New York Stroke Trials Network of Columbia and Cornell (NYCCSTN)U10NS086728 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARSHALL, RANDOLPH S · 2013 to 2017
$2.0M
NINDS NIH HHS U10 NS086728
6 · The paper itself

Abstract

backgroundPregnancy-associated stroke remains incompletely characterized because of the rarity of these potentially devastating events. We investigated whether mechanism and outcome of ischemic pathophysiology stroke differ between young pregnant and nonpregnant women.

methodsWe identified 135 consecutive women ages 18-40 years admitted to our center from January 2008 through June 2014 with ischemic stroke, TIA, cerebral venous thrombosis, or nonaneurysmal subarachnoid hemorrhage due to reversible cerebral vasoconstriction syndrome (RCVS). We reviewed charts for pregnancy status, demographics, medical comorbidities, stroke severity, etiology, and discharge outcomes.

resultsThere were 33 women with pregnancy-associated stroke (PAS) and 102 with non-pregnancy-associated stroke (NPAS). Among women with PAS, 73% of strokes occurred postpartum. In the PAS group, the most common cause of cerebrovascular events was RCVS (n = 12), 11 postpartum and 4 in women with preeclampsia. There were no significant differences between the groups in demographics. Women with PAS were less likely to have vascular risk factors such as hyperlipidemia and history of thromboembolism but more likely to have cerebral venous thromboses (21% vs 7%,

conclusionCompared with nonpregnant women of the same age group, women with PAS had fewer vascular risk factors. Cerebral venous thrombosis and RCVS were more common in PAS, most of which occurred postpartum. These results provide further evidence for the unique pathophysiology of pregnancy-related stroke, raising important questions for future investigation.

Identifiers

PMID26918201
PMCPMC4753832
OpenAlexW2288070365

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.