Preeclampsia effects on Neuro system

[cota143]

3 yrs ago i delivered @ 28 weeks due to preeclampsia. I was experiencing visual changes ie: sparkles, and distortion...as if one pupil was blown...kinda like looking thru the bottom of a coke bottle with only one eye and the other was fine, auroras and other pre-cursors to migraine...but never got the pain.      I feel like I am just talking to walls and I get looked at like I have 3 heads!!  I am pregnant again in my 18th weeks and am getting the sparkles, auroras, and every one in a while distorted vision.  My B/P and urine is great.  I also have a history of Crest syndrome, Sjrogren's, 3 DVT's, a PE and a possible TIA before my last pregnancy. Is there any long lasting effects of preeclampsia on the nerology end?

[Fionajnz]

I do get migraines when not on heparin/warfarin, but don't get them when I am on treatment.

Fiona

[Fionajnz]

Congratulations on your pg.  I would think you are or should be considered high risk and being cared for by not only a regular OB but a perinatologist.  I had cardiomyopathy and a PE during/after my third childs pg.   I complained for mths about symptoms and was not taken seriously, then of course I got REALLY sick.  I suggest you go pick up the ph to a perinatologist and make an ASAP appt, or when you get symptoms go directly to urgent care or the ER.

You clearly have a history of blood clotting and that risk increases when you are pg.  Some blood work would help determine if you are high risk for clotting issues esp a D dimer test, plus they should be monitoring your liver function and general well being.

The other thought would be to see a hematologist, often you will find one who is a hematologist oncologist in a practice that specialises in seeing pg women for blood clotting issues.  At the very least given your hx I would think that aspirin and heparin would be approp treatments to consider for pg and 6 wks beyond delivery.  At about 18 wks or so, the placenta and cord demands become larger, so the baby can grow.  Sometimes the cord is clogged with a sludge type issue, if you have blood clotting issues, that directly affects the babies growth.  Treatment is with aspirin and or heparin shots.  This approach is much more mainstream than it was even 8 yrs ago when I first was dx during my first successful pg, so ask about it directly.

Remember to mention your history EVERY time you see an OB for a review, they see so many people, its not so easy to remember all the info for each patient, so ensure you remind them every time.  

It could well be migraines during pg, that said, your symptoms with your history would suggest a full investigation is necessary.  I found that when I was pg and on heparin shots, I never got a migraine, but when I am not on heparin (I was on that and warfarin for mths post third delivery) I never got a migraine - mind you I had plenty of other symptoms to keep me occupied :-)

Best wishes for the remainder of your pg and I hope you do not deliver early this time.

Fiona - Mom of 3, 4 miscarriages