When evaluating stroke in pregnancy, prioritize managing blood pressure, fluid volume, and utilizing magnesium sulfate for RCVS/PRES secondary to preeclampsia. While calcium channel blockers are commonly used for vessel spasms, remember that definitive treatment for known aneurysms or AVMs should ideally occur pre-conception. If discovered during pregnancy, multidisciplinary risk assessment dictates care, often favoring elective Cesarean delivery.

Stroke risk peaks significantly during the postpartum period rather than during pregnancy itself.

IV tPA remains a viable treatment option for pregnant ischemic stroke patients if maternal benefits outweigh risks.

Securely treated aneurysms or AVMs generally allow for safe, normal vaginal deliveries.