Ba Fang, Miyasaki Janis M
Division of Neurology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Division of Neurology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Handb Clin Neurol. 2020;172:219-239. doi: 10.1016/B978-0-444-64240-0.00013-1.
Movement disorders in women during pregnancy are uncommon. Therefore, high quality studies are limited, and guidelines are lacking for the treatment of movement disorders in pregnancy, thus posing a significant therapeutic challenge for the treating physicians. In this chapter, we discuss movement disorders that arise during pregnancy and the preexisting movement disorders during pregnancy. Common conditions encountered in pregnancy include but are not limited to restless legs syndrome, chorea gravidarum, Parkinson disease, essential tremor, and Huntington disease as well as more rare movement disorders (Wilson's disease, dystonia, etc.). This chapter summarizes the published literature on movement disorders and pharmacologic and surgical considerations for neurologists and physicians in other specialties caring for patients who are pregnant or considering pregnancy.
孕期女性的运动障碍并不常见。因此，高质量研究有限，且缺乏孕期运动障碍的治疗指南，这给治疗医生带来了重大的治疗挑战。在本章中，我们将讨论孕期出现的运动障碍以及孕期已有的运动障碍。孕期常见的情况包括但不限于不宁腿综合征、妊娠性舞蹈病、帕金森病、特发性震颤、亨廷顿病以及更罕见的运动障碍（威尔逊病、肌张力障碍等）。本章总结了已发表的关于运动障碍的文献，以及神经科医生和其他专科医生在照顾怀孕或考虑怀孕的患者时的药物和手术考量。
