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Las neuropatías en el embarazo aunque no muy frecuentes, sí generan un gran impacto en la calidad de vida cuando no se establece el diagnóstico y tratamiento oportunos. Existen varios mecanismos fisiopatológicos como los de origen mecánico, hormonal e inmunológico. La localización de la lesión neuronal dependerá del mecanismo y por ende tiene relación directa con el trimestre del embarazo. Así, las neuropatías de origen hormonal y mecánico asociadas con el embarazo, como la del túnel del carpo que es la más frecuente, se presentan más en el segundo y tercer trimestre, mientras las de estricta aparición mecánica como las que comprometen los miembros inferiores, ocurren en especial durante el parto. Otras neuropatías como las craneales son infrecuentes y obligan a descartar etiologías secundarias. Las polineuropatías más que estar relacionadas con el embarazo, son precipitadas o se pueden expresar durante esta condición. La siguiente revisión narrativa describe las neuropatías más comunes durante el embarazo según la localización, sintomatología, hallazgos clínicos, trimestre de aparición y presunto origen fisiopatológico.
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