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孕期急性起病的神经系统疾病:文献综述

Acute Onset Neurological Disorders during Pregnancy: A Literature Review.

作者信息

Ferraz Zita, Parra Joana, Areia Ana Luísa, Vasco Elsa, Moura Paulo

机构信息

Obstetrics Unit, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Neurology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

出版信息

Rev Bras Ginecol Obstet. 2017 Oct;39(10):560-568. doi: 10.1055/s-0037-1604058. Epub 2017 Jun 26.

Abstract

To characterize the most common peripheral and central neurological disorders during pregnancy.  Original research and review of the literature on neurological complications during pregnancy. We searched for keywords related to the topic on different databases.  Pregnancy involves physiological changes that can trigger peripheral neurological and/or central nervous system pathologies, which can sometimes be associated with hypertensive disorders. A definitive diagnosis of neurological disorders can be made according to the trimester of pregnancy and the clinical findings. Carpal tunnel syndrome and peripheral facial palsy are common peripheral neurological disorders, more frequent in the second half of pregnancy. Central nervous disorders are more complex and a precise diagnosis must be made in order to improve perinatal outcomes, provide correct management and treatment and to prevent acute and long-term complications.  It is possible to achieve a precise diagnosis, management and treatment of neurological disorders during pregnancy, but these require a multidisciplinary approach, crucial to improve perinatal outcomes.

摘要

为了描述妊娠期最常见的周围和中枢神经系统疾病。对妊娠期神经并发症的文献进行原始研究和综述。我们在不同数据库中搜索与该主题相关的关键词。妊娠涉及生理变化,这些变化可引发周围神经和/或中枢神经系统病变,有时还与高血压疾病相关。可根据妊娠 trimester 和临床发现对神经疾病做出明确诊断。腕管综合征和周围性面瘫是常见的周围神经疾病,在妊娠后半期更为常见。中枢神经系统疾病更为复杂,必须做出精确诊断,以改善围产期结局、提供正确的管理和治疗并预防急性和长期并发症。在妊娠期有可能实现对神经疾病的精确诊断、管理和治疗,但这些需要多学科方法,这对改善围产期结局至关重要。 (注:原文中“trimester”常见释义为“三个月时间;妊娠期限” ,这里结合语境可能是指妊娠阶段,比如早、中、晚期,但直接翻译为“trimester”更符合英文原文表述习惯,具体含义需结合更详细的医学知识背景来准确理解 )

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/82b7/10309368/52871c20b61a/10-1055-s-0037-1604058-i5974-1.jpg

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