Interventions at the Community, Patient, and Provider Level to Improve Timely Diagnosis and Treatment of Neurovascular Emergencies in the Peripartum Period

Neurovascular emergencies in the peripartum period, though rare, represent a significant cause of maternal morbidity and mortality worldwide. These conditions include ischemic and hemorrhagic strokes, cerebral venous sinus thrombosis, reversible cerebral vasoconstriction syndrome, posterior reversible encephalopathy syndrome, and cervical artery dissection. Clinical presentation can be subtle or nonfocal, delaying diagnosis. Early recognition through high clinical suspicion, prompt neuroimaging, and involvement of a neurological team is critical. This review highlights the most common neurovascular emergencies in the peripartum period and proposed interventions to better prevent, diagnose, and treat them.