Ozturk Gulsah, Kadiroğulları Pınar
Department of Neurosurgery, Memorial Health Group Sisli Hospital, Istanbul, Gelisim University College of Health Sciences, Istanbul, Turkey.
Department of Obstetrics and Gynecology, Acıbadem University Atakent Hospital, Istanbul, Turkey.
Ann Indian Acad Neurol. 2022 Jan-Feb;25(1):121-123. doi: 10.4103/aian.AIAN_151_21. Epub 2021 Nov 3.
Deep brain stimulation (DBS) can lead to psychosocial and functional improvement in medically refractory cervical, segmental, or generalized moderate to severe dystonia. After treatment with DBS in women with dystonia, pregnancy can be planned. However, in the literature, there are no standardized clinical guidelines for the management of movement disorder treated with DBS during pregnancy. Herein, we report a 24-year-old female patient with cervical dystonia (CD) who have an implanted bilateral globus pallidus interna (GPi)-DBS. The patient got pregnant during the 5-year follow-up period after DBS surgery and then delivered a healthy baby via cesarean section under general anesthesia. A patient with CD who have a DBS system with a rechargeable battery could be managed safely during pregnancy and childbirth.
深部脑刺激(DBS)可使药物难治性颈部、节段性或全身性中重度肌张力障碍患者在心理社会和功能方面得到改善。肌张力障碍女性患者接受DBS治疗后可以计划怀孕。然而,在文献中,对于孕期接受DBS治疗的运动障碍管理尚无标准化临床指南。在此,我们报告一名24岁患有颈部肌张力障碍(CD)的女性患者,其植入了双侧内侧苍白球(GPi)-DBS。该患者在DBS手术后的5年随访期内怀孕,随后在全身麻醉下通过剖宫产分娩出一名健康婴儿。患有带可充电电池DBS系统的CD患者在妊娠和分娩期间可得到安全管理。