A case report on catamenial epilepsy / Philippine Journal of Obstetrics and Gynecology
Philippine Journal of Obstetrics and Gynecology
;
: 33-38, 2017.
Artigo
| WPRIM
| ID: wpr-960576
ABSTRACT
A case of a 17-year-old nulligravid with onset of seizure episodes since menarcheis reported. She was diagnosed with Seizure Disorder treated with Phenobarbital and was seizure free for 2 years. Two years prior to consult, seizure recurrences were noted to coincide with menstruation, hence, was diagnosed with Catamenial Epilepsy. Patient was shifted to Lamotrigine but seizure exacerbations were still observed, prompting referral to the Reproductive Medicine service for adjunctive hormonal therapy. Depot medroxyprogesterone acetate was added to the antiepileptic drug which provided seizure control. Adjunctive hormonal therapy proved to be helpful in the management of intractable seizures in this patient.The report aims to give a better understanding of the neuroactive properties of estrogen and progesterone and its role in the development of Catamenial Epilepsy. Gender-related and psychosocial issues in the treatment of Epilepsy in the child-bearing years up to the menopause are also discussed.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fenobarbital
/
Progesterona
/
Convulsões
/
Triazinas
/
Menopausa
/
Acetato de Medroxiprogesterona
/
Medicina Reprodutiva
/
Epilepsia
/
Estrogênios
/
Lamotrigina
Limite:
Adolescente
/
Feminino
/
Humanos
Revista:
Philippine Journal of Obstetrics and Gynecology
Ano de publicação:
2017
Tipo de documento:
Artigo
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