Yerdelen Deniz, Karataş Mehmet
Department of Neurology, Baskent University Faculty of Medicine, Adana, Turkey.
J Obstet Gynaecol Res. 2011 Mar;37(3):202-8. doi: 10.1111/j.1447-0756.2010.01337.x. Epub 2010 Dec 16.
Some neurological diseases associated with pregnancy may develop initially during gestation, pregnancy may predispose the patient to some of these diseases or some may occur only with pregnancy. The aim of this study is to draw attention to the rare neurological diseases--other than eclampsia--that develop during pregnancy or the diseases initially described as associated with pregnancy.
Our sample comprised of 16 pregnant women who developed neurological disorders that are rarely encountered or initially reported during this phase, eclampsia excluded.
The proportion of cerebrovascular diseases was 56%. The others included intracranial hypotension accompanied by seizures, cerebral primitive neuroectodermal tumor, ophthalmoplegic migraine, hemiplegic migraine, spinal segmental myoclonus, acute motor axonal neuropathy and acute motor axonal neuropathy associated with ophthalmoplegia.
Our results suggest that by adopting a careful and correct approach and accurate neurological diagnosis, most of these patients could be treated successfully with good prognosis of the newborns.
一些与妊娠相关的神经系统疾病可能在妊娠期最初发病,妊娠可能使患者易患其中某些疾病,或者有些疾病仅在妊娠时发生。本研究的目的是引起人们对除子痫之外在妊娠期间发生的罕见神经系统疾病或最初被描述为与妊娠相关的疾病的关注。
我们的样本包括16例患有在此阶段很少遇到或最初报道的神经系统疾病的孕妇,子痫除外。
脑血管疾病的比例为56%。其他疾病包括伴有癫痫发作的颅内低压、脑原始神经外胚层肿瘤、眼肌麻痹性偏头痛、偏瘫性偏头痛、脊髓节段性肌阵挛、急性运动轴索性神经病以及与眼肌麻痹相关的急性运动轴索性神经病。
我们的结果表明,通过采取谨慎正确的方法和准确的神经学诊断,这些患者中的大多数可以得到成功治疗,新生儿预后良好。