Pregnancy in Dystonia or Tourette's Patients with DBS. Fourteen News Cases and a Review of the Literature
Background Deep Brain Stimulation (DBS) has been demonstrated to improve quality of life in patients with refractory dystonia and Tourette's syndrome (TS). Because of the young age at onset of these disorders, and the marked benefit from DBS, pregnancy in patients who have received DBS is becom...
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| Veröffentlicht in: | Movement disorders clinical practice (Hoboken, N.J.) N.J.), 2025-01, Vol.12 (1), p.82-88 |
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| container_title | Movement disorders clinical practice (Hoboken, N.J.) |
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| creator | Mehanna, Raja Tarakad, Arjun Taneff, Lisa Yutong Furr Stimming, Erin |
| description | Background
Deep Brain Stimulation (DBS) has been demonstrated to improve quality of life in patients with refractory dystonia and Tourette's syndrome (TS). Because of the young age at onset of these disorders, and the marked benefit from DBS, pregnancy in patients who have received DBS is becoming a more frequent clinical occurrence, although clear management guidelines are lacking.
Cases
We report 14 new pregnancies in patients with dystonia or TS and DBS.
Literature Review
Upon review of the literature, 23 pregnancies in patients with dystonia or TS were previously reported in seven articles.
Conclusion
Based on the available data from a total of 37 pregnancies, DBS does not seem associated with worse pregnancy outcome. However, careful planning and communication between neurologist, anesthesiologist and obstetrician are key. A registry on pregnancy outcome in patients with DBS should be generated to facilitate the development of guidelines. |
| doi_str_mv | 10.1002/mdc3.14272 |
| format | Article |
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Deep Brain Stimulation (DBS) has been demonstrated to improve quality of life in patients with refractory dystonia and Tourette's syndrome (TS). Because of the young age at onset of these disorders, and the marked benefit from DBS, pregnancy in patients who have received DBS is becoming a more frequent clinical occurrence, although clear management guidelines are lacking.
Cases
We report 14 new pregnancies in patients with dystonia or TS and DBS.
Literature Review
Upon review of the literature, 23 pregnancies in patients with dystonia or TS were previously reported in seven articles.
Conclusion
Based on the available data from a total of 37 pregnancies, DBS does not seem associated with worse pregnancy outcome. However, careful planning and communication between neurologist, anesthesiologist and obstetrician are key. A registry on pregnancy outcome in patients with DBS should be generated to facilitate the development of guidelines.</description><identifier>ISSN: 2330-1619</identifier><identifier>EISSN: 2330-1619</identifier><identifier>DOI: 10.1002/mdc3.14272</identifier><identifier>PMID: 39529252</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; C‐section ; Deep Brain Stimulation ; dystonia ; Dystonia - therapy ; Female ; Humans ; Pregnancy ; Pregnancy Complications - therapy ; Pregnancy Outcome - epidemiology ; Tourette ; Tourette Syndrome - therapy ; Young Adult</subject><ispartof>Movement disorders clinical practice (Hoboken, N.J.), 2025-01, Vol.12 (1), p.82-88</ispartof><rights>2024 International Parkinson and Movement Disorder Society.</rights><rights>2025 International Parkinson and Movement Disorder Society</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2462-b41c3419769f6fe804339eedb9011bd8f69aaabb7dc326e022e6ce9b44b3fe9e3</cites><orcidid>0000-0003-1704-3683</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fmdc3.14272$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fmdc3.14272$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39529252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mehanna, Raja</creatorcontrib><creatorcontrib>Tarakad, Arjun</creatorcontrib><creatorcontrib>Taneff, Lisa Yutong</creatorcontrib><creatorcontrib>Furr Stimming, Erin</creatorcontrib><title>Pregnancy in Dystonia or Tourette's Patients with DBS. Fourteen News Cases and a Review of the Literature</title><title>Movement disorders clinical practice (Hoboken, N.J.)</title><addtitle>Mov Disord Clin Pract</addtitle><description>Background
Deep Brain Stimulation (DBS) has been demonstrated to improve quality of life in patients with refractory dystonia and Tourette's syndrome (TS). Because of the young age at onset of these disorders, and the marked benefit from DBS, pregnancy in patients who have received DBS is becoming a more frequent clinical occurrence, although clear management guidelines are lacking.
Cases
We report 14 new pregnancies in patients with dystonia or TS and DBS.
Literature Review
Upon review of the literature, 23 pregnancies in patients with dystonia or TS were previously reported in seven articles.
Conclusion
Based on the available data from a total of 37 pregnancies, DBS does not seem associated with worse pregnancy outcome. However, careful planning and communication between neurologist, anesthesiologist and obstetrician are key. A registry on pregnancy outcome in patients with DBS should be generated to facilitate the development of guidelines.</description><subject>Adult</subject><subject>C‐section</subject><subject>Deep Brain Stimulation</subject><subject>dystonia</subject><subject>Dystonia - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - therapy</subject><subject>Pregnancy Outcome - epidemiology</subject><subject>Tourette</subject><subject>Tourette Syndrome - therapy</subject><subject>Young Adult</subject><issn>2330-1619</issn><issn>2330-1619</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1PAjEQhhujEYJc_AGmiQeNCdiP3S496iJqgkoUz5vu7qyUQBfbIuHfWwSN8eBpJpknT2bmReiYki4lhF3Oy4J3acQStoeajHPSoYLK_V99A7WdmxJCKIsFYfQQNbiMmWQxayI9svBmlCnWWBvcXztfG61wbfG4XlrwHs4cHimvwXiHV9pPcP_6pYsHYeoBDH6ElcOpcuCwMiVW-Bk-NKxwXWE_ATzUHqzyQXWEDio1c9De1RZ6HdyM07vO8On2Pr0adgoWCdbJI1rwiMpEyEpU0CMR5xKgzCWhNC97lZBKqTxPwt1MAGEMRAEyj6KcVyCBt9D51ruw9fsSnM_m2hUwmykD9dJlnLJeEstYJgE9_YNOw1kmbBeo8CsuaCQDdbGlCls7Z6HKFlbPlV1nlGSbDLJNBtlXBgE-2SmX-RzKH_T74wGgW2ClZ7D-R5U99FO-lX4CC5uPWg</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Mehanna, Raja</creator><creator>Tarakad, Arjun</creator><creator>Taneff, Lisa Yutong</creator><creator>Furr Stimming, Erin</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1704-3683</orcidid></search><sort><creationdate>202501</creationdate><title>Pregnancy in Dystonia or Tourette's Patients with DBS. Fourteen News Cases and a Review of the Literature</title><author>Mehanna, Raja ; Tarakad, Arjun ; Taneff, Lisa Yutong ; Furr Stimming, Erin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2462-b41c3419769f6fe804339eedb9011bd8f69aaabb7dc326e022e6ce9b44b3fe9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Adult</topic><topic>C‐section</topic><topic>Deep Brain Stimulation</topic><topic>dystonia</topic><topic>Dystonia - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - therapy</topic><topic>Pregnancy Outcome - epidemiology</topic><topic>Tourette</topic><topic>Tourette Syndrome - therapy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mehanna, Raja</creatorcontrib><creatorcontrib>Tarakad, Arjun</creatorcontrib><creatorcontrib>Taneff, Lisa Yutong</creatorcontrib><creatorcontrib>Furr Stimming, Erin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Movement disorders clinical practice (Hoboken, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mehanna, Raja</au><au>Tarakad, Arjun</au><au>Taneff, Lisa Yutong</au><au>Furr Stimming, Erin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pregnancy in Dystonia or Tourette's Patients with DBS. Fourteen News Cases and a Review of the Literature</atitle><jtitle>Movement disorders clinical practice (Hoboken, N.J.)</jtitle><addtitle>Mov Disord Clin Pract</addtitle><date>2025-01</date><risdate>2025</risdate><volume>12</volume><issue>1</issue><spage>82</spage><epage>88</epage><pages>82-88</pages><issn>2330-1619</issn><eissn>2330-1619</eissn><abstract>Background
Deep Brain Stimulation (DBS) has been demonstrated to improve quality of life in patients with refractory dystonia and Tourette's syndrome (TS). Because of the young age at onset of these disorders, and the marked benefit from DBS, pregnancy in patients who have received DBS is becoming a more frequent clinical occurrence, although clear management guidelines are lacking.
Cases
We report 14 new pregnancies in patients with dystonia or TS and DBS.
Literature Review
Upon review of the literature, 23 pregnancies in patients with dystonia or TS were previously reported in seven articles.
Conclusion
Based on the available data from a total of 37 pregnancies, DBS does not seem associated with worse pregnancy outcome. However, careful planning and communication between neurologist, anesthesiologist and obstetrician are key. A registry on pregnancy outcome in patients with DBS should be generated to facilitate the development of guidelines.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>39529252</pmid><doi>10.1002/mdc3.14272</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1704-3683</orcidid></addata></record> |
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| ispartof | Movement disorders clinical practice (Hoboken, N.J.), 2025-01, Vol.12 (1), p.82-88 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult C‐section Deep Brain Stimulation dystonia Dystonia - therapy Female Humans Pregnancy Pregnancy Complications - therapy Pregnancy Outcome - epidemiology Tourette Tourette Syndrome - therapy Young Adult |
| title | Pregnancy in Dystonia or Tourette's Patients with DBS. Fourteen News Cases and a Review of the Literature |
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