Refractory status epilepticus during pregnancy secondary to cavernous angioma.

Abstract:

SUMMARY:First-time seizure and status epilepticus during pregnancy have been previously reported as the initial manifestation of intracranial cavernous hemangioma. We report a woman with no history of seizures who presented with refractory status epilepticus at 10 weeks gestation. Cranial MRI revealed a right frontal cavernous hemangioma. The seizures remained refractory to conventional anticonvulsant medications and 48 h of general anesthetic. Termination of the pregnancy resulted in almost immediate resolution of the seizures. The dramatic response of the seizures to termination of the pregnancy suggests that hormonal factors were primarily responsible for the precipitous presentation in this patient.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Aladdin Y,Gross DW

doi

10.1111/j.1528-1167.2008.01639.x

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

1627-9

issue

9

eissn

0013-9580

issn

1528-1167

pii

EPI1639

journal_volume

49

pub_type

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