Airas Laura, Kurki Timo, Erjanti Hanna, Marttila Reijo J
Department of Neurology, Turku University Hospital, Turku, Finland.
Mult Scler. 2005 Jun;11(3):346-8. doi: 10.1191/1352458505ms1158oa.
Balo's concentric sclerosis is a severe demyelinating disease with poor prognosis. To date, nothing is known about the effects of pregnancy on the course of Balo's disease. We describe here the first successful pregnancy of a patient with Balo's concentric sclerosis. Upon neurological worsenings during pregnancy, our patient was treated with high-dose methylprednisolone and plasma-exchange. Intravenous immunoglobulin and interferon-beta-1a were given postpartum. At the last follow-up visit 2.5 years after the delivery the patient had only minor residual symptoms.
巴洛同心圆性硬化是一种预后较差的严重脱髓鞘疾病。迄今为止,关于妊娠对巴洛病病程的影响尚无定论。我们在此描述了首例巴洛同心圆性硬化患者成功妊娠的病例。在孕期出现神经功能恶化时,我们的患者接受了大剂量甲泼尼龙和血浆置换治疗。产后给予静脉注射免疫球蛋白和干扰素-β-1a。在分娩后2.5年的最后一次随访中,患者仅遗留轻微症状。