Department of Neurology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Mov Disord. 2010 Apr 30;25(6):665-71. doi: 10.1002/mds.23071.
Pregnant patients are rarely encountered in the movement disorders clinic, but they present significant dilemmas regarding treatment and counseling for neurologists. While movement disorders in pregnancy once described those disorders arising de novo during pregnancy, such as chorea gravidarum or restless leg syndrome, advancing maternal age in Western countries will likely increase the number of women in whom pregnancy complicates a pre-existing movement disorder. Physicians treating these women must be aware of the impact of the movement disorder and its treatment on fertility, pregnancy, fetal development, lactation, and infant care. This review summarizes retrospective series and case reports to both guide clinicians and to stimulate and direct the design of prospective studies.
在运动障碍诊所中很少会遇到孕妇，但她们在治疗和咨询方面给神经科医生带来了重大的难题。虽然妊娠时的运动障碍曾经是指那些在妊娠期间新出现的疾病，如妊娠舞蹈病或不宁腿综合征，但西方国家中产妇年龄的增加可能会增加妊娠使原有运动障碍复杂化的妇女人数。治疗这些女性的医生必须了解运动障碍及其治疗对生育、妊娠、胎儿发育、哺乳和婴儿护理的影响。这篇综述总结了回顾性系列和病例报告，旨在为临床医生提供指导，并激发和指导前瞻性研究的设计。
