Nagasawa H, Takashima S, Hirade S, Inoue H
Second Department of Internal Medicine, Toyama Medical and Pharmaceutical University.
Rinsho Shinkeigaku. 1997 Oct;37(10):933-6.
We report a 31-year-old woman with a relapse of multiple sclerosis during the third trimester of pregnancy. She had been treated palliatively after the relapse until occurrence of a new symptom and new lesions on MRI, and then she had Cesarean section. After surgery, steroid pulse therapy was started and the symptoms and lesions on MRI resulted in improvement. As a strategy to treat patients with multiple sclerosis in their third trimester of pregnancy, it is appropriate to evaluate disease activity using MRI and to start steroid pulse therapy after delivery.
我们报告了一名31岁的女性，她在妊娠晚期复发了多发性硬化症。复发后她接受了姑息治疗，直到出现新症状和MRI上的新病灶，随后她接受了剖宫产。手术后，开始了类固醇冲击疗法，症状和MRI上的病灶得到了改善。作为治疗妊娠晚期多发性硬化症患者的策略，使用MRI评估疾病活动并在分娩后开始类固醇冲击疗法是合适的。
