Management of Parkinson's disease and other movement disorders in women of childbearing age: Part 2
Por:
Garcia-Ramos, R, Santos-Garcia, D, Alonso-Canovas, A, Alvarez-Sauco, M, Ares, B, Avila, A, Caballol, N, Carrillo, F, Sevilla, F, Freire, E, Esteban, J, Legarda, I, Manzanares, L, Valdes, E, Martinez-Torres, I, Mata, M, Parees, I, Pascual-Sedano, B, Castrillo, J and Mir, P
Publicada:
1 mar 2021
Ahead of Print:
1 feb 2021
Resumen:
Introduction: Many diseases associated with hyperkinetic movement disorders manifest in women of childbearing age. It is important to understand the risks of these diseases during pregnancy, and the potential risks of treatment for the fetus.
Objectives: This study aims to define the clinical characteristics and the factors affecting the lives of women of childbearing age with dystonia, chorea. Tourette syndrome, tremor, and restless legs syndrome, and to establish guidelines for management of pregnancy and breastfeeding in these patients.
Results: This consensus document was developed through an exhaustive literature search and a discussion of the content by a group of movement disorder experts from the Spanish Society of Neurology.
Conclusions: We must evaluate the risks and benefits of treatment in all women with hyper kinetic movement disorders, whether pre-existing or with onset during pregnancy, and aim to reduce effective doses as much as possible or to administer drugs only when necessary. In hereditary diseases, families should be offered genetic counselling. It is important to recognise movement disorders triggered during pregnancy, such as certain types of chorea and restless legs syndrome. (C) 2020 Sociedad Espanola de Neurologia. Published by Elsevier Espana, S.L.U.
Filiaciones:
Garcia-Ramos, R:
Hosp Clin San Carlos, Inst Invest Sanitaria San Carlos IdISCC, Madrid, Spain
Santos-Garcia, D:
Complejo Hosp Univ A Coruna CHUAC, La Coruna, Spain
Alonso-Canovas, A:
Hosp Univ Ramon Y Cajal, Madrid, Spain
:
Hosp Gen Univ Elche, Alicante, Spain
Ares, B:
Hosp Univ Santiago de Compostela, La Coruna, Spain
Avila, A:
Hosp Gen LHospitalet, Consorci Sanitari Integral, Barcelona, Spain
Hosp St Joan Despi Moises Broggi, Consorci Sanitari Integral, Barcelona, Spain
Caballol, N:
Hosp St Joan Despi Moises Broggi, Consorci Sanitari Integral, Barcelona, Spain
Carrillo, F:
Univ Seville, Inst Biomed Sevilla, Serv Neurol & Neurofisiol Clin,CSIC, Unidad Trastornos Movimiento,Hosp Univ Virgen Roc, Seville, Spain
Ctr Invest Biomed Red Enfermedades Neurodegenerat, Madrid, Spain
Sevilla, F:
Hosp Univ Virgen de las Nieves, Inst Invest Biosanitaria Ibs, Granada, Spain
:
Hosp Gen Univ Elche, Alicante, Spain
Hosp IMED Elche, Alicante, Spain
Esteban, J:
Hosp Univ Cruces, Bilbao, Vizcaya, Spain
Legarda, I:
Hosp Univ Son Espases, Palma De Mallorca, Islas Baleares, Spain
Manzanares, L:
Hosp Univ La Princesa, Madrid, Spain
Valdes, E:
Hosp Clin San Carlos, Inst Invest Sanitaria San Carlos IdISCC, Madrid, Spain
Martinez-Torres, I:
Hosp Univ La Fe, Valencia, Spain
Mata, M:
Hosp Univ Infanta Sofia, Madrid, Spain
Parees, I:
Hosp Univ Ramon Y Cajal, Madrid, Spain
Hosp Ruber Int, Madrid, Spain
Pascual-Sedano, B:
Hosp Santa Creu & Sant Pau, Estudios Ciencias Salud, Barcelona, Spain
Univ Oberta Catalunya UDC, Barcelona, Spain
Ctr Invest Biomed Red Enfermedades Neurodegenerat, Madrid, Spain
Castrillo, J:
Hosp Univ Ramon Y Cajal, Madrid, Spain
Mir, P:
Univ Seville, Inst Biomed Sevilla, Serv Neurol & Neurofisiol Clin,CSIC, Unidad Trastornos Movimiento,Hosp Univ Virgen Roc, Seville, Spain
Hosp Ruber Int, Madrid, Spain
Green Published, gold
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