A Clinical Approach To Juvenile Parkinsonism During Pregnancy

Aseel Ahmed Hussain, M. R. Ahmed
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Abstract

Juvenile parkinsonism is a rare disease affecting patients younger than the age of 21 years. When superimposed with pregnancy, most physicians fear its health complications and the role of the treatment and its safety for the fetus. This case presents a 37-year-old woman diagnosed with juvenile parkinsonism who was blessed with her second child, eight years after her first. Despite all the odds, concerns, and warnings from family and physicians, the patient was determined to conceive, avoiding all means of contraception. During pregnancy, the patient experienced multiple hypoglycemic attacks and was diagnosed with gestational diabetes mellitus, which was controlled accordingly. The patient also suffered from motor impairments that worsened with the progression of pregnancy. However, the patient regained previous motor function upon delivery. The expectation that pregnancy may permanently worsen the symptoms of Parkinson’s disease is not explicit; some pregnancies are uncomplicated by Parkinsonism yet complicated by pregnancy-induced medical conditions. As demonstrated in this case, family support and care, alongside continuous maternofetal monitoring, aids in the success of pregnancy in patients with juvenile Parkinson’s disease regardless of their risks.
妊娠期青少年帕金森病的临床研究
青少年帕金森病是一种罕见的疾病,影响患者的年龄小于21岁。当与怀孕叠加时,大多数医生担心其健康并发症、治疗的作用及其对胎儿的安全性。这个病例是一位37岁的女性,她被诊断为青少年帕金森症,在她第一个孩子八年后,她有幸生了第二个孩子。尽管有各种可能性、担心和来自家人和医生的警告,病人还是决定怀孕,避免了所有避孕手段。患者在妊娠期间多次发生低血糖发作,诊断为妊娠期糖尿病,并予以控制。患者还患有运动障碍,并随着妊娠的进展而恶化。然而,患者在分娩时恢复了先前的运动功能。怀孕可能会使帕金森病的症状永久恶化的预期尚不明确;有些妊娠并未因帕金森病而复杂化,但因妊娠引起的医疗条件而复杂化。正如本例所示,家庭支持和护理,以及持续的母胎监测,有助于青少年帕金森病患者成功怀孕,无论其风险如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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