Practice

Commentary: Neurological perspective

BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b5250 (Published 10 December 2009) Cite this as: BMJ 2009;339:b5250
  1. Adam B Cohen, instructor1,
  2. Matt T Bianchi, instructor2
  1. 1Neurology Department, 75 Francis St, Brigham and Women’s Hospital, Boston, MA 02115, USA
  2. 2Neurology Department, Sleep Division, Massachusetts General Hospital, Boston, MA 02114
  1. Correspondence to: M T Bianchi mtbianchi{at}partners.org

    As suggested by this case report,1 many neurological disorders are affected by pregnancy.2 These include common and benign conditions such as migraine, Bell’s palsy, carpal tunnel syndrome, and other peripheral neuropathies. The reason pregnancy modifies neurological disease may be alterations in the vascular and immune systems, which are influenced by the endocrine environment. The vascular disturbances include increased vascular volume and hypercoagulability. The immune changes include a shift from Th1 to …

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