Neuropatías en el embarazo
Neuropathies in pregnancy
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Triana, J. D., & Salgado, S. A. (2015). Neuropatías en el embarazo. Revista Repertorio De Medicina Y Cirugía, 24(3), 168–174. https://doi.org/10.31260/RepertMedCir.v24.n3.2015.610
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
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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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Referencias
1. Bromberg MB. An approach to the evaluation of peripheral neuropathies. Semin Neurol. 2010;30(4):3 0 .
2. Alport AR, Sanderv W. linical approach to peripheral neuropathy: anatomic localization and diagnostic testing. ontinuum (Minneap Minn). 2012;18(1):13 38.
3. Bromberg MB. An electrodiagnostic approach to the evaluation of peripheral neuropathies. Phys Med Rehabil lin Am. 2013;24(1):1 3 68.
4. Rezania K. euromuscular disorders in pregnancy. n: Minagar A, editor. eurological disorders and pregnancy. Amsterdam; Boston; eidelberg: Elsevier; 2011. p. 1 9 84.
5. Cernaro , ac uaniti A, upica R, Buemi A, rimboli D, Giorgianni G, et al. Rela in: new pathophysiological aspects and pharmacological perspectives for an old protein. Med Res Rev. 2014;34(1):77 10 .
6. Adams Waldorf KM, elson J . Autoimmune disease during pregnancy and the microchimerism legacy of pregnancy. mmunol nvest. 2008;37( ):631 44.
7. Gillman GS, Schaitkin BM, May M, Klein SR. Bell’s palsy in pregnancy: a study of recovery outcomes. tolaryngol ead eck Surg. 2002;126(1):26 30.
8. Katz A, Sergienko R, Dior U, Wiznitzer A, Kaplan DM, Sheiner E. Bell’s palsy during pregnancy: is it associated with adverse perinatal outcome . aryngosco pe. 2011;121(7):139 8.
9. Robinson JR, Pow JW. Bell’s palsy: a predisposition of pregnant women. Arch Otolaryngol. 1972; 9 (2):12 9.
10. Cohen , avie , Granovsky Grisaru S, Aboulafia , Diamant . Bell palsy complicating pregnancy: a review. bstet Gynecol Surv. 2000; (3):184 8.
11. Huna Baron R, Kupersmith MJ. diopathic intracranial hypertension in pregnancy. J eurol. 2002; 249(8):1078 81.
12. Digre KB, arner MW, orbett JJ. Pseudotumor cerebri and pregnancy. eurology. 1984; 34(6):721 9.
13. Massey EW, Guidon A . Peripheral neuropathies in pregnancy. ontinuum (Minneap Minn). 2014; 20(1 eurology of Pregnancy):100 14.
14. Padua , Di Pas uale A, Pazzaglia , iotta GA, ibrante A, Mondelli M. Systematic review of pregnancy related carpal tunnel syndrome. Muscle erve. 2010;42( ):697 702.
15. Graham RA. arpal tunnel syndrome: a statistical analysis of 214 cases. rthopedics. 1983; 6(10):1283 7.
16. Seror P. Pregnancy related carpal tunnel syndrome. J and Surg Br. 1998; 23(1):98 101.
17. Padua , Aprile , aliandro P, arboni , Meloni A, Massi S, et al. Symptoms and neurophysiological picture of carpal tunnel syndrome in pregnancy. lin europhysiol. 2001;112(10):1946 1.
18. Mondelli M, Rossi S, Monti E, Aprile , aliandro P, Pazzaglia , et al. Prospective study of positive factors for improvement of carpal tunnel syndrome in pregnant women. Muscle erve. 2007;36(6):778 83.
19. Guidon A , Massey EW. euromuscular disorders in pregnancy. eurol lin. 2012; 30(3): 889 911.
20. Massey EW, Stolp KA. Peripheral neuropathy in pregnancy. Phys Med Rehabil Clin Am. 2008; 19(1):149 62.
21. van Alfen , van Engelen BG. he clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006;129 (Pt 2):438 0.
22. Wong A, Scavone BM, Dugan S, Smith J , Prather , Ganchiff J , et al. ncidence of postpartum lumbosacral spine and lower e tremity nerve in uries. bstet Gynecol. 2003;101(2):279 88.
23. al akim M, Katir i B. Femoral mononeuropathy induced by the lithotomy position: a report of cases with a review of literature. Muscle erve. 1993;16(9):891 .
24. Brannegan R . Femoral mononeuropathy induced by lithotomy position. Muscle Nerve. 1994;17(4):466.
25. Steward JD. Focal peripheral neuropathies. 3rd ed. Philadelphia: ippincott Williams Wilkins; 2000.
26. Kitchen , Simpson J. Meralgia paresthetica. A review of 67 patients. Acta eurol Scand. 1972; 48( ): 47 .
27. Litwiller JP, Wells RE, alliwill JR, armichael SW, Warner MA. Effect of lithotomy positions on strain of the obturator and lateral femoral cutaneous nerves. Clin Anat. 2004;17(1):4 9.
28. Eltzschig K, ieberman ES, amann WR. Regional anesthesia and analgesia for labor and delivery. Engl J Med. 2003; 348(4):319 32.
29. Fast A, Shapiro D, Ducommun EJ, Friedmann W, Bouklas , Floman . owback pain in pregnancy. Spine (Phila Pa 1976). 1987;12(4):368 71.
30. Mantle MJ, Greenwood RM, urrey HL. Backache in pregnancy. Rheumatol Rehabil. 1977;16(2):9 101.
31. LaBan MM, Perrin J , atimer FR. Pregnancy and the herniated lumbar disc. Arch Phys Med Rehabil. 1983; 64(7):319 21.
32. Thein R, Burstein G, Shabshin . abor related sacral stress fracture presenting as lower limb radicular pain. rthopedics. 2009; 32(6):447.
33. Sa W, Rosenbaum RB. euromuscular disorders in pregnancy. Muscle erve. 2006;34( ): 9 71.
34. Katir i B, Wilbourn AJ, Scarberry S , Preston D . ntrapartum maternal lumbosacral ple opathy. Muscle erve. 2002;26(3):340 7.
35. Pleet AB, Massey EW. Intercostal neuralgia of pregnancy. JAMA. 1980;243(8):770.
36. Skeen MB, Eggleston M. horaconeuralgia gravidarum. Muscle erve. 1999; 22(6):779 80.12. Digre KB, arner MW, orbett JJ. Pseudotumor cerebri and pregnancy. eurology. 1984; 34(6):721 9. 37. Mendizabal JE
37. Mendizabal JE, Bassam BA. Guillain–Barré syndrome and cytomegalovirus infection during pregnancy. South Med J. 1997; 90 (1): 63–4.
38. Kuller JA, Katz , Mc oy M , ansen WF. Pregnancy complicated by Guillain Barré syndrome. South Med J. 199 ; 88(9): 987 9.
39. Mabie W . Peripheral neuropathies during pregnancy. lin bstet Gynecol. 200 ;48(1): 7 66.
40. Joint ask Force of the EF S and the P S. European Federation of eurological Societies Peripheral erve Society Guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a oint task force of the European Federation of eurological Societies and the Peripheral erve Society First Revision. J Peripher erv Syst. 2010;1 (1):1 9.
41. Mc ombe PA, McManis PG, Frith JA, Pollard JD, Mc eod JG. hronic inflammatory demyelinating polyradiculoneuropathy associated with pregnancy. Ann Neurol. 1987;21(1):102 4.
42. Daroff RB, Fenichel GM, Jankovic J, Mazziotta J. Bradley’s neurology in clinical practice. 6th ed. Philadelphia: Saunders; 2012.
43. Niebyl JR. linical practice. ausea and vomiting in pregnancy. Engl J Med. 2010; 363(16):1 44 50.
44. Saperstein DS, Wolfe G , Gronseth GS, ations SP, erbelin , Bryan WW, et al. hallenges in the identification of cobalamin deficiency polyneuropathy. Arch eurol. 2003; 60(9):1296 301.
45. Awater , erres K, Rudnik Sch neborn S. Pregnancy course and outcome in women with hereditary neuromuscular disorders: comparison of obstetric risks in 178 patients. Eur J bstet Gynecol Reprod Biol. 2012;162(2):1 3 9.
46. Chaudhry , Escolar DM, ornblath DR. Worsening of multifocal motor neuropathy during pregnancy. eurology. 2002; 9(1):139 41.
47. Vine S, Shaffer M, Pauley G, Margolis EJ. A review of the relationship between pregnancy and porphyria and presentation of a case. Ann ntern Med. 19 7;47(4):834 40.
2. Alport AR, Sanderv W. linical approach to peripheral neuropathy: anatomic localization and diagnostic testing. ontinuum (Minneap Minn). 2012;18(1):13 38.
3. Bromberg MB. An electrodiagnostic approach to the evaluation of peripheral neuropathies. Phys Med Rehabil lin Am. 2013;24(1):1 3 68.
4. Rezania K. euromuscular disorders in pregnancy. n: Minagar A, editor. eurological disorders and pregnancy. Amsterdam; Boston; eidelberg: Elsevier; 2011. p. 1 9 84.
5. Cernaro , ac uaniti A, upica R, Buemi A, rimboli D, Giorgianni G, et al. Rela in: new pathophysiological aspects and pharmacological perspectives for an old protein. Med Res Rev. 2014;34(1):77 10 .
6. Adams Waldorf KM, elson J . Autoimmune disease during pregnancy and the microchimerism legacy of pregnancy. mmunol nvest. 2008;37( ):631 44.
7. Gillman GS, Schaitkin BM, May M, Klein SR. Bell’s palsy in pregnancy: a study of recovery outcomes. tolaryngol ead eck Surg. 2002;126(1):26 30.
8. Katz A, Sergienko R, Dior U, Wiznitzer A, Kaplan DM, Sheiner E. Bell’s palsy during pregnancy: is it associated with adverse perinatal outcome . aryngosco pe. 2011;121(7):139 8.
9. Robinson JR, Pow JW. Bell’s palsy: a predisposition of pregnant women. Arch Otolaryngol. 1972; 9 (2):12 9.
10. Cohen , avie , Granovsky Grisaru S, Aboulafia , Diamant . Bell palsy complicating pregnancy: a review. bstet Gynecol Surv. 2000; (3):184 8.
11. Huna Baron R, Kupersmith MJ. diopathic intracranial hypertension in pregnancy. J eurol. 2002; 249(8):1078 81.
12. Digre KB, arner MW, orbett JJ. Pseudotumor cerebri and pregnancy. eurology. 1984; 34(6):721 9.
13. Massey EW, Guidon A . Peripheral neuropathies in pregnancy. ontinuum (Minneap Minn). 2014; 20(1 eurology of Pregnancy):100 14.
14. Padua , Di Pas uale A, Pazzaglia , iotta GA, ibrante A, Mondelli M. Systematic review of pregnancy related carpal tunnel syndrome. Muscle erve. 2010;42( ):697 702.
15. Graham RA. arpal tunnel syndrome: a statistical analysis of 214 cases. rthopedics. 1983; 6(10):1283 7.
16. Seror P. Pregnancy related carpal tunnel syndrome. J and Surg Br. 1998; 23(1):98 101.
17. Padua , Aprile , aliandro P, arboni , Meloni A, Massi S, et al. Symptoms and neurophysiological picture of carpal tunnel syndrome in pregnancy. lin europhysiol. 2001;112(10):1946 1.
18. Mondelli M, Rossi S, Monti E, Aprile , aliandro P, Pazzaglia , et al. Prospective study of positive factors for improvement of carpal tunnel syndrome in pregnant women. Muscle erve. 2007;36(6):778 83.
19. Guidon A , Massey EW. euromuscular disorders in pregnancy. eurol lin. 2012; 30(3): 889 911.
20. Massey EW, Stolp KA. Peripheral neuropathy in pregnancy. Phys Med Rehabil Clin Am. 2008; 19(1):149 62.
21. van Alfen , van Engelen BG. he clinical spectrum of neuralgic amyotrophy in 246 cases. Brain. 2006;129 (Pt 2):438 0.
22. Wong A, Scavone BM, Dugan S, Smith J , Prather , Ganchiff J , et al. ncidence of postpartum lumbosacral spine and lower e tremity nerve in uries. bstet Gynecol. 2003;101(2):279 88.
23. al akim M, Katir i B. Femoral mononeuropathy induced by the lithotomy position: a report of cases with a review of literature. Muscle erve. 1993;16(9):891 .
24. Brannegan R . Femoral mononeuropathy induced by lithotomy position. Muscle Nerve. 1994;17(4):466.
25. Steward JD. Focal peripheral neuropathies. 3rd ed. Philadelphia: ippincott Williams Wilkins; 2000.
26. Kitchen , Simpson J. Meralgia paresthetica. A review of 67 patients. Acta eurol Scand. 1972; 48( ): 47 .
27. Litwiller JP, Wells RE, alliwill JR, armichael SW, Warner MA. Effect of lithotomy positions on strain of the obturator and lateral femoral cutaneous nerves. Clin Anat. 2004;17(1):4 9.
28. Eltzschig K, ieberman ES, amann WR. Regional anesthesia and analgesia for labor and delivery. Engl J Med. 2003; 348(4):319 32.
29. Fast A, Shapiro D, Ducommun EJ, Friedmann W, Bouklas , Floman . owback pain in pregnancy. Spine (Phila Pa 1976). 1987;12(4):368 71.
30. Mantle MJ, Greenwood RM, urrey HL. Backache in pregnancy. Rheumatol Rehabil. 1977;16(2):9 101.
31. LaBan MM, Perrin J , atimer FR. Pregnancy and the herniated lumbar disc. Arch Phys Med Rehabil. 1983; 64(7):319 21.
32. Thein R, Burstein G, Shabshin . abor related sacral stress fracture presenting as lower limb radicular pain. rthopedics. 2009; 32(6):447.
33. Sa W, Rosenbaum RB. euromuscular disorders in pregnancy. Muscle erve. 2006;34( ): 9 71.
34. Katir i B, Wilbourn AJ, Scarberry S , Preston D . ntrapartum maternal lumbosacral ple opathy. Muscle erve. 2002;26(3):340 7.
35. Pleet AB, Massey EW. Intercostal neuralgia of pregnancy. JAMA. 1980;243(8):770.
36. Skeen MB, Eggleston M. horaconeuralgia gravidarum. Muscle erve. 1999; 22(6):779 80.12. Digre KB, arner MW, orbett JJ. Pseudotumor cerebri and pregnancy. eurology. 1984; 34(6):721 9. 37. Mendizabal JE
37. Mendizabal JE, Bassam BA. Guillain–Barré syndrome and cytomegalovirus infection during pregnancy. South Med J. 1997; 90 (1): 63–4.
38. Kuller JA, Katz , Mc oy M , ansen WF. Pregnancy complicated by Guillain Barré syndrome. South Med J. 199 ; 88(9): 987 9.
39. Mabie W . Peripheral neuropathies during pregnancy. lin bstet Gynecol. 200 ;48(1): 7 66.
40. Joint ask Force of the EF S and the P S. European Federation of eurological Societies Peripheral erve Society Guideline on management of chronic inflammatory demyelinating polyradiculoneuropathy: report of a oint task force of the European Federation of eurological Societies and the Peripheral erve Society First Revision. J Peripher erv Syst. 2010;1 (1):1 9.
41. Mc ombe PA, McManis PG, Frith JA, Pollard JD, Mc eod JG. hronic inflammatory demyelinating polyradiculoneuropathy associated with pregnancy. Ann Neurol. 1987;21(1):102 4.
42. Daroff RB, Fenichel GM, Jankovic J, Mazziotta J. Bradley’s neurology in clinical practice. 6th ed. Philadelphia: Saunders; 2012.
43. Niebyl JR. linical practice. ausea and vomiting in pregnancy. Engl J Med. 2010; 363(16):1 44 50.
44. Saperstein DS, Wolfe G , Gronseth GS, ations SP, erbelin , Bryan WW, et al. hallenges in the identification of cobalamin deficiency polyneuropathy. Arch eurol. 2003; 60(9):1296 301.
45. Awater , erres K, Rudnik Sch neborn S. Pregnancy course and outcome in women with hereditary neuromuscular disorders: comparison of obstetric risks in 178 patients. Eur J bstet Gynecol Reprod Biol. 2012;162(2):1 3 9.
46. Chaudhry , Escolar DM, ornblath DR. Worsening of multifocal motor neuropathy during pregnancy. eurology. 2002; 9(1):139 41.
47. Vine S, Shaffer M, Pauley G, Margolis EJ. A review of the relationship between pregnancy and porphyria and presentation of a case. Ann ntern Med. 19 7;47(4):834 40.
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