Medical Volunteer, Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR.
Neurology Resident, Department of Neurology, Universidade Federal do Rio de Janeiro, Hospital Universitário Clementino Fraga Filho, Rio de Janeiro, Brazil.
Obstet Gynecol Surv. 2020 Feb;75(2):121-126. doi: 10.1097/OGX.0000000000000745.
Carpal tunnel syndrome and meralgia paresthetica are 2 common neuropathies complicating pregnancy. Each of these causes significant discomfort but can be diagnosed and treated safely during pregnancy.
This article outlines the existing literature diagnosis, treatment, and prognosis of carpal tunnel syndrome and meralgia paresthetica, specifically looking at the implications during pregnancy. The aim is to provide a reference for physicians diagnosing and treating neuropathies in pregnant patients.
Existing literature on neuropathies during pregnancy, clinical presentation, and treatment options for both carpal tunnel syndrome and meralgia paresthetica was reviewed through a MEDLINE and PubMed search. Referenced articles were reviewed and used as primary source materials as appropriate.
Carpal tunnel syndrome affects individuals of all ages and sexes but is more prevalent in women, particularly during pregnancy. Meralgia paresthetica can occur in various circumstances but is most commonly associated with prolonged second stage in lithotomy position. Multiple clinical signs and neurologic tests are useful to establish the diagnosis of either neuropathy. Effective treatment for carpal tunnel syndrome includes wrist splints, steroid and lidocaine injections, and release surgery. Optimal treatment of meralgia paresthetica remains controversial but includes nerve block injections and active release techniques.
Neuropathies are common in pregnancy and can result in significant impairment. Accurate diagnosis is possible during pregnancy and can usually be accomplished with bedside neurologic tests. Treatment options can be safely considered during pregnancy and can result in symptomatic improvement and reduction in chronic symptoms.
腕管综合征和股外侧皮神经炎是两种常见的妊娠合并神经病。这两种疾病都会引起明显的不适，但都可以在妊娠期安全诊断和治疗。
本文概述了腕管综合征和股外侧皮神经炎的现有文献诊断、治疗和预后，特别关注妊娠期的影响。目的是为诊断和治疗妊娠患者神经病的医生提供参考。
通过 MEDLINE 和 PubMed 搜索，回顾了有关妊娠期间神经病、临床表现和治疗选择的现有文献。对引用的文章进行了审查，并根据需要将其作为主要资料来源。
腕管综合征影响所有年龄和性别的个体，但在女性中更为常见，尤其是在妊娠期间。股外侧皮神经炎可发生在各种情况下，但最常见于截石位第二产程延长。多种临床体征和神经学检查有助于诊断任何一种神经病。腕管综合征的有效治疗包括腕部夹板、类固醇和利多卡因注射以及松解手术。股外侧皮神经炎的最佳治疗方法仍存在争议，但包括神经阻滞注射和主动松解技术。
神经病在妊娠中很常见，可导致明显的功能障碍。妊娠期可以进行准确的诊断，通常可以通过床边神经学检查来完成。可以在妊娠期安全地考虑治疗选择，并且可以改善症状和减少慢性症状。
