Neurología y embarazo

Abstract

Pregnancy produces a series of physiological changes in women which may trigger several neurologic pathologies or decompensation in pre-existing diseases. There are neurologic complications in pathological pregnancies such as: Wernicke's encephalopathy; posterior reversible encephalopathy which is a form of eclampsia; previous diseases such as epilepsies that entail a high obstetric risk due to the possibility of presenting embriopathies associated to the use of antiepileptic drugs (AEDs) and also because of the risk of a convulsive crisis in the fetus; cerebrovascular diseases which are rare although with high maternal mortality; extrapyramidal pathologies which are infrequent except for the chorea gravidarum and the restless legs syndrome; cerebral neoplasms in which due to haemodynamic changes at the end of the second quarter and the increase of estrogen and progesterone many tumors may raise their volume; and peripheral alterations like myasthenia gravis (MG); intervertebral disk displacement and entrapment neuropathies like carpal tunnel syndrome and meralgia paresthetica. Anyhow because of cellular immunity in multiple sclerosis pregnancy is protected from new outbreaks.

Helicobacter pylori infection and gastrointestinal symptoms on Chilean pregnant women

“…This study and others 5,7,9,11,12,15,16 suggest that, for a pregnant woman both dyspepsia and hyperemesis are not normal events. It is our opinion that this area needs to be considered to a greater extent in future studies, aiming at solving this problem, because a high percentage of the pregnant women go to the physician during pregnancy due to one of these symptoms, with impact on the mother to be, her baby and the family as a whole.…”

“…Therefore, more accurate and detailed studies and treatments are required. 5,12 Shirin et al (2007) investigated the relationship between H. pylori infection and the presence of gastric discomfort in pregnancy, finding a significant association between this infection and hyperemesis. However, H. pylori infection was not related to all gastric symptoms of pregnancy.…”

“…The percentage of pregnancy hyperemesis found is above the national average, which is in the range of 3 to 5%. 5,12 Both symptoms, dyspepsia and hyperemesis, do not affect the integrity of pregnancy, but they affect the quality of life during pregnancy. Therefore, more accurate and detailed studies and treatments are required.…”

Is Supplementation with Micronutrients Still Necessary during Pregnancy? A Review

“…Vitamin B1 or thiamine deficiency is related to the appearance of beriberi and Wernicke's encephalopathy, a complication of hyperemesis gravidarum [89]. Wernicke's encephalopathy is a neurological disease caused by a deficiency of vitamin B1 or thiamine.…”

Informe de caso: astrocitoma de bajo grado durante el periodo gestacional

“…El abordaje en pacientes gestantes con tumor cerebral merece consideraciones terapéuticas especiales y requiere un abordaje multidisciplinario debido al alto riesgo de morbilidad y mortalidad. La intervención quirúrgica se recomienda durante el segundo y tercer trimestre (De Robles et al, 2015) (Sáez M. & Fuentes S., 2010).…”