妊娠期周围神经病变
Peripheral neuropathies in pregnancy.
作者信息
Massey E Wayne, Guidon Amanda C
出版信息
Continuum (Minneap Minn). 2014 Feb;20(1 Neurology of Pregnancy):100-14. doi: 10.1212/01.CON.0000443839.02884.bb.
PURPOSE OF REVIEW
This article provides an overview of the most common peripheral neuropathic disorders in pregnancy with a focus on clinical recognition, diagnosis, and treatment.
RECENT FINDINGS
The literature on this topic consists primarily of case reports, case series, and retrospective reviews. Recent work, particularly in carpal tunnel syndrome, brachial neuritis, and inherited neuropathies in pregnancy, has added to our knowledge of this field. Awareness of diabetic polyneuropathy with associated autonomic dysfunction in pregnancy has grown as the incidence of diabetes mellitus increases in women of childbearing age.
SUMMARY
Women may develop mononeuropathy, plexopathy, radiculopathy, or polyneuropathy during pregnancy or postpartum. Pregnancy often influences consideration of etiology, treatment, and prognosis. In women of childbearing age with known acquired or genetic neuromuscular disorders, pregnancy should be anticipated and appropriate counseling provided. An interdisciplinary approach with other medical specialties is often necessary.
综述目的
本文概述了妊娠期间最常见的周围神经病变性疾病，重点关注临床识别、诊断和治疗。
最新发现
关于该主题的文献主要包括病例报告、病例系列和回顾性综述。近期的研究工作，特别是在腕管综合征、臂丛神经炎和妊娠遗传性神经病方面的研究，增加了我们对该领域的认识。随着育龄期女性糖尿病发病率的增加，对妊娠合并糖尿病性多发性神经病及相关自主神经功能障碍的认识也有所提高。
总结
女性在妊娠期间或产后可能会出现单神经病、臂丛神经病、神经根病或多发性神经病。妊娠常常会影响病因的考量、治疗及预后。对于已知患有获得性或遗传性神经肌肉疾病的育龄期女性，应提前做好妊娠准备并提供适当的咨询。通常需要与其他医学专科采取跨学科的方法。
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