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February 22, 1980

Intercostal Neuralgia of Pregnancy

Author Affiliations

From the Department of Neurology, National Naval Medical Center, Bethesda, Md.

JAMA. 1980;243(8):770. doi:10.1001/jama.1980.03300340046021

PREGNANCY has long been associated with a number of well-defined neuralgias and peripheral neuropathies such as meralgia paraesthetica, sciatica, and the carpal tunnel syndrome.1 We wish to call attention to a less common neuralgic complication of the gravid state.

Report of a Case  A 31-year-old woman was referred to the neurology service in the seventh month of her second pregnancy for evaluation of abdominal pain.Three years previously, in the eighth month of her first pregnancy, she experienced painful dysesthesias in the right hypochondrium, which promptly abated in the immediate postpartum period, leaving her with a small hypesthetic zone just to the right of the xyphoid process.In the sixth month of her second pregnancy, dysesthesias recurred in the right hypochondrium and lumbar area, involving thoracic dermatomal levels T-7 through T-11.Her medical history suggested the presence of an ill-defined autoimmune disease: four years previously she had thyrotoxicosis treated

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