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Look for catamenial epilepsy pattern.(Gynecology)
BRECKENRIDGE, COLO. -- Seizures in many epileptic women exhibit a stereotypic menses-related pattern that may have important treatment implications, Jose F. Cavazos, M.D., said at a conference on epilepsy syndromes sponsored by the University of Texas at San Antonio.
How common is this catamenial exacerbation of seizures? In one recent study led by Andrew G. Herzog, M.D., of Harvard Medical School, Boston, 87 women with localization-related epilepsy charted their seizures in three menstrual cycles. Fully 39% showed one of three predefined catamenial patterns of seizure exacerbation during at least two of the three cycles.
The three patterns characteristic of catamenial epilepsy were perimenstrual or periovulatory exacerbations during normal cycles, and exacerbations during the second half of anovular cycles (Ann. Neurol. 2004;56:431-4).
The implication is that for the many women whose seizures follow a catamenial pattern, anticipatory short-term increases in antiepileptic drug dosing may help. Or patients can add an adjunctive anticonvulsant such as acetazolamide or a benzodiazepine for 3-4 days. Several days of clomiphene are another possibility, ...
- Catamenial Epilepsy: In Search of a Clinical Entity and Its Prevalence.
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- Magazine article from: Physician Executive Warren, Barbara H. November 1, 1995 700+ words
Medicaid members represent a higher risk group of patients. Many have chronic illnesses or disabilities, among which are seizure disorders. One of the measures of successful outcomes of seizure management and surgery is the future return to employment of the patient. However, because of other
- Match the treatment to the condition.(LETTERS)(Letter to the Editor)
- Magazine article from: OB GYN News April 15, 2005 700+ words
...catamenial patterns" ("Look for Catamenial Epilepsy Pattern," March 1, 2005, p...failed to note that the treatment for catamenial epilepsy might by danazol to suppress the...treatment studies in women with catamenial epilepsy and there is no universally accepted...
- Studies from D.S. Reddy et al provide new data on epilepsy.
- Magazine article from: Women's Health Weekly May 21, 2009 700+ words
...United States, "Perimenstrual catamenial epilepsy, the cyclical occurrence of seizure...susceptibility in perimenstrual catamenial epilepsy is believed to be due to the withdrawal...in a rat pseudopregnancy model of catamenial epilepsy indicate that after neurosteroid...
Source: HighBeam Research, Look for catamenial epilepsy pattern.(Gynecology)