Management of DYT1 dystonia throughout pregnancy.
A 30-year-old woman with generalised DYT1 dystonia, controlled with medication, presented at 9 weeks gestation with an unplanned pregnancy. A number of learning points were highlighted in management of the patient's dystonia alongside pregnancy including avoidance of excessive medication exposure to the fetus, while maintaining symptom control to a level acceptable and safe for the patient and prenatal diagnostic testing. In our case there was no overt ill effect to the newborn. This is a common worry among pregnant women with dystonia and as such the authors felt it important to report.
University College London, London, UK. zchabq4@ucl.ac.uk
Sathiji
S
Nageshwaran
Saiji
S
Nageshwaran
Mark J
MJ
Edwards
Michael
M
Morcos
D000328:Adult; D004422:Dystonia Musculorum Deformans / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011296:Prenatal Diagnosis