Seizures in Pregnancy

Successfully Treated New-Onset Pilocytic Astrocytoma in a Pregnant Patient

“…Three of these twenty-two (16.7%) women had positive neuroimaging findings on their MRI examinations, and none had brain tumours [5]. In at least 50% of the new epileptic cases during pregnancy, EEG examination shows no signs of epileptic activity, as in our presented case [4].…”

“…The first step in the evaluation of seizures during pregnancy should be considered as eclampsia, and all seizures need to be treated as it is until we can exclude it [4].…”

A Rare Case of Refractory Status Epilepticus Recurring in the Second and Third Trimesters of Pregnancy

“…Preeclampsia and eclampsia generally occur after the second trimester of pregnancy. 7 In our patient blood pressure follow-ups were stable, liver function tests and platelet values were within normal limits, there was no proteinuria, and she had a known history of epilepsy. Therefore we considered her GTCSs as epileptic seizures.…”

“…If the seizure frequency increases or free AED levels in serum decrease by 30% or more during pregnancy, it is recommended to increase AED doses. 7 Our patient was discharged with oral antiepileptic agents after the first RSE attack. Serum drug levels could not be checked because she did not come for regular controls.…”

“…Mortality rate of pregnant women with epilepsy is ten times more than those without it. 7 In 60% of SE cases, the seizures can be controlled with IV benzodiazepine and second-line anticonvulsant agents. If seizures continue despite those treatments, this is called as RSE.…”