Document Detail


Pregnancy and delivery in Charcot-Marie-Tooth disease type 1.
MedLine Citation:
PMID:  8413959     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report the obstetric complications and the influence of pregnancy and delivery in 21 Charcot-Marie-Tooth disease type 1 (CMT 1) patients with 45 gestations. Sixteen patients had subjective disabilities from childhood or youth, and five with late onset had subclinical CMT when they became pregnant. The rate of obstetric complications in the study group was in accordance with that of the normal population, and there was no deleterious effect on fetal outcome. Of the 21 participants, 38% (8 of 21) reported an exacerbation of CMT in at least one pregnancy. These patients noted increasing weakness in 81% (17 of 21) of their gestations. A temporary worsening occurred in 35% (6 of 17) of these pregnancies, and neurologic disabilities persisted after 65% of the deliveries (11 of 17). Patients who had pregnancy-associated progression in the first gestation (7 of 21) experienced similar deterioration in subsequent pregnancies (10 of 11), ie, there is a high risk for recurrence of exacerbations. Four women (19%) stated that their last deliveries were responsible for either an exacerbation or the onset of the neuropathy. The remaining nine patients (43%) denied any effect of their gestations on the progression of the neuropathy. Among the patients who had subjective disabilities from childhood or youth, the risk of a noticeable exacerbation in at least one pregnancy was 50% (8 of 16) and affected 81% of their gestations (17 of 21), whereas there was no influence of pregnancy in the five patients with adult onset of CMT, although the first symptoms were noticed postpartum in two of them.(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
S Rudnik-Schöneborn; D Röhrig; G Nicholson; K Zerres
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Neurology     Volume:  43     ISSN:  0028-3878     ISO Abbreviation:  Neurology     Publication Date:  1993 Oct 
Date Detail:
Created Date:  1993-11-12     Completed Date:  1993-11-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  2011-6     Citation Subset:  AIM; IM    
Affiliation:
Institute for Human Genetics, University of Bonn, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age of Onset
Charcot-Marie-Tooth Disease / physiopathology*
Delivery, Obstetric*
Female
Follow-Up Studies
Humans
Labor, Obstetric*
Maternal Age
Pregnancy
Pregnancy Complications*
Pregnancy Outcome
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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