DEALING WITH UNCONTROLLED SEIZURE IN CATAMENIAL EPILEPSY: A CASE REPORT
Keywords:Catamenial, Epilepsy, Menstrual, Seizure
Catamenial epilepsy refers to a seizure pattern that coincides with the menstrual period. Patients with catamenial epilepsy often leads to intractable epilepsy and may have an adverse impact on quality of life. Several medications are the therapeutic options, however, there is uncertainty regarding the best treatment, and these medications often fail to control the seizure. This makes catamenial epilepsy categorized as pharmaco-resistant epilepsy. This paper reported a case of perimenstrual catamenial epilepsy with an uncontrolled seizure problem. Seizures still occur with optimal management, and thereby clinicians must continue to re-evaluate clinical conditions and treatment selection to achieve optimal management. Personalized-based treatment should be considered in catamenial epilepsy management. This report discusses the challenges of catamenial epilepsy, understanding the catamenial process, and dealing with the problem with a practical personalized approach.
Maguire MJ, Nevitt SJ. Treatments for seizures in catamenial epilepsy. Cochrane Database Syst Rev; 2019. 2019(10).
Verrotti A, D’Egidio C, Agostinelli S, Verrotti C, Pavone P. Diagnosis and management of catamenial seizures: A review. Int J Womens Health; 2012. 4(1):535–41. DOI: 10.2147/IJWH.S28872.
Kumar D, Iltaf S, Umer A, Fatima M, Zaheer M, Waqar K, et al. The frequency of catamenial epilepsy in female epileptic patients of reproductive age group presented to the tertiary care hospital. Cureus; 2020. 12(11):6–13. DOI: 10.7759/cureus.11635.
Lara B, Murao JG, Penolio VV, Apepe ET. A case report on catamenial epilepsy. Philippine Journal of Obtetrics and Gynecology; 2017. 41(3):33–8.
Reddy DS. Catamenial epilepsy: Discovery of an extrasynaptic molecular mechanism for targeted therapy. Front Cell Neurosci; 2016. 10(Apr):1–12. DOI: 10.3389/fncel.2016.00101.
Alcantara-Boquiren MJ, Pagayao A. Progesterone in Treatment of catamenial epilepsy. Fertil Reprod; 2019. 01(04):169–79. DOI: 10.1142/S2661318219500191.
Khishfe BF. Catamenial epilepsy: The menstrual cycle as a clue to predict future refractory seizures. J Emerg Med; 2017. 52(2):235–7.
Chalissery AJ, Murphy E, Mullins G, Widdess-Walsh P, Kilbride R, Delanty N. Recurrent catamenial status epilepticus: Is it rare or an under recognized phenomenon in women with epilepsy? Epilepsy Behav Case Reports; 2018. 9:19–21.
Herzog AG. Catamenial epilepsy: Update on prevalence, pathophysiology and treatment from the findings of the NIH progesterone treatment trial. Seizure; 2015. 28:18–25.
Rodriguez Macias KA. Catamenial epilepsy: Gynecological and hormonal implications. Five case reports. Gynecol Endocrinol; 1996. 10(2):139–42. DOI: 10.3109/09513599609097905.
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Creative Commons Attribution-NonCommercial 4.0 International License