DEALING WITH UNCONTROLLED SEIZURE IN CATAMENIAL EPILEPSY: A CASE REPORT

Authors

  • Machlusil Husna Epilepsy Division, Neurology Department, Universitas Brawijaya/Saiful Anwar General Hospital, Indonesia
  • I Wayan Arsana Wiyasa Fertility, Endocrinology, and Reproduction Division, Obstetrics and Gynecology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia
  • Ria Damayanti Epilepsy Division, Neurology Department, Universitas Brawijaya/Saiful Anwar General Hospital, Indonesia
  • Syah Sembung Wasiso Obstetrics and Gynecology Resident, Obstetrics and Gynecology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia
  • Fahimma Fahimma Neurology Resident, Neurology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia
  • Kartika Agustina Neurology Resident, Neurology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia

DOI:

https://doi.org/10.21776/ub.mnj.2023.009.01.16

Keywords:

Catamenial, Epilepsy, Menstrual, Seizure

Abstract

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.

Downloads

Download data is not yet available.

References

Maguire MJ, Nevitt SJ. Treatments for seizures in catamenial epilepsy. Cochrane Database Syst Rev; 2019. 2019(10).

DOI: 10.1002/14651858.CD013225.pub2.

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.

DOI: 10.1016/j.jemermed.2016.07.110.

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.

DOI: 10.1016/j.ebcr.2017.10.002.

Herzog AG. Catamenial epilepsy: Update on prevalence, pathophysiology and treatment from the findings of the NIH progesterone treatment trial. Seizure; 2015. 28:18–25.

DOI: 10.1016/j.seizure.2015.02.024.

Rodriguez Macias KA. Catamenial epilepsy: Gynecological and hormonal implications. Five case reports. Gynecol Endocrinol; 1996. 10(2):139–42. DOI: 10.3109/09513599609097905.

Downloads

Published

2022-12-22

How to Cite

Husna, M., Wiyasa, I. W. A., Damayanti, R., Wasiso, S. S., Fahimma, F., & Agustina, K. (2022). DEALING WITH UNCONTROLLED SEIZURE IN CATAMENIAL EPILEPSY: A CASE REPORT. MNJ (Malang Neurology Journal), 9(1), 73–75. https://doi.org/10.21776/ub.mnj.2023.009.01.16

Issue

Vol. 9 No. 1 (2023): January

Section

Case Report

License

Copyright (c) 2022 MNJ (Malang Neurology Journal)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Creative Commons License
This work is licensed under a
Creative Commons Attribution-NonCommercial 4.0 International License