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Related Experiment Videos

Status epilepticus during pregnancy. A case report.

E A Licht1, R Sankar

  • 1Center for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, Sepulveda, CA 91343-2036, USA. elicht@ucla.edu

The Journal of Reproductive Medicine
|May 13, 1999
PubMed
Summary

Status epilepticus, a serious complication for pregnant women with epilepsy, is more common in the third trimester. This case highlights successful management of status epilepticus in pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Neurology
  • Pharmacology

Background:

  • Status epilepticus is a rare, life-threatening complication for women with epilepsy during pregnancy.
  • Poor adherence to anticonvulsant medication can precipitate status epilepticus, necessitating higher drug dosages.

Purpose of the Study:

  • To report a case of myoclonic status epilepticus in a pregnant woman with epilepsy.
  • To discuss the timing and management of status epilepticus during pregnancy.

Main Methods:

  • A case report of a 39-year-old woman with a history of epilepsy.
  • Review of 19 cases of status epilepticus in pregnant women with epilepsy.

Main Results:

  • The reported patient experienced myoclonic status epilepticus and delivered twins.

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  • Infants tolerated maternal seizures and anticonvulsant therapy without complications.
  • 74% of reviewed cases occurred in the third trimester or during labor.

    • Conclusions:

    • Status epilepticus in pregnant women with epilepsy appears more frequent in the third trimester.
    • Management of status epilepticus during pregnancy requires careful consideration of maternal and fetal well-being.