Author/Editor		Podnar, Simon
Title		Žariščne okvare perifernega živčevja v nosečnosti in med porodom pri materi in novorojenčku
Translated title		Focal neuropathies in pregnancy and childbirth in mother and newborn
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 44, št. Suppl 3
Publication year		2005
Volume		str. 97-100
Language		slo
Abstract		During pregnancy and childbirth, some parts of the peripheral nervous system are at increased risk. This applies to both the mother and newborn. The most common mechanism of focal peripheral nerve damage in this period is nerve compression (facial nerve and brachial plexus lesions in the newborn, and lumbosacral plexus lesion in the mother). Systemic causes less often lead to peripheral nervous system lesions. Prognosis of focal nervous lesions in this population is, fortunately, good in most cases; lesions spontaneously heal in a few months. In spite of good prognosis, it is however important for gynecologists, obstetricians, and neonatologists to know risk factors for such lesions, to be able to recognise them, and to act appropriately. In the management of focal nerve lesions they can rely on the assistance of neurologists and clinical neurophysiologists.
Summary		V nosečnosti in pri porodu so nekateri deli perifernega živčevja bolj ogroženi kot sicer. To velja tako za nosečnico/porodnico kot za novorojenčka. Glavni vzrok za to je kompresija perifernih živcev (npr. okvara obraznega živca in brahialnega pleteža pri novorojenčku ter ledveno-križnega pleteža pri nosečnici). Redkeje je žariščna okvara perifernih živcev posledica sistemskih vzrokov (npr. sindrom zapestnega prehoda pri nosečnici). K sreči je napoved žariščnih okvar perifernega živčevja v večini primerov dobra; okvare se spontano popravijo v nekaj mesecih. Vseeno pa je pomembno, da ginekologi, porodničarji in neonatologi poznajo dejavnike tveganja za tovrstne okvare, jih pravočasno prepoznajo in ustrezno ukrepajo. Pri obravnavi žariščnih okvar perifernega živčevja so jim praviloma v pomoč tudi nevrologi in klinični nevrofiziologi.
Descriptors		PERIPHERAL NERVES PREGNANCY LABOR FACIAL PARALYSIS CARPAL TUNNEL SYNDROME BRACHIAL PLEXUS