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Neurosurgery for intractable epilepsy in pregnancy: A case report

We describe the management of a 39-year-old woman with intractable focal epilepsy whose condition deteriorated during pregnancy and who required emergency neurosurgery. A literature search did not identify any previous reports of epilepsy surgery in pregnancy. To our knowledge, this is the first tim...

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Detalles Bibliográficos
Autores principales: Behan, Claire, Hynes, Sinead, Ennis, Patricia, Khalil, Mohamed Ibrahim, Hogan, Jennifer, Brett, Francesca, Sweeney, Kieron, Kilbride, Ronan, Doherty, Colin P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10239692/
https://www.ncbi.nlm.nih.gov/pubmed/37283698
http://dx.doi.org/10.1016/j.ebr.2023.100607
Descripción
Sumario:We describe the management of a 39-year-old woman with intractable focal epilepsy whose condition deteriorated during pregnancy and who required emergency neurosurgery. A literature search did not identify any previous reports of epilepsy surgery in pregnancy. To our knowledge, this is the first time surgery was planned and executed in rapid order with a successful outcome, without obstetrical or surgical complications and seizure freedom achieved. The value of rapid communication between established women’s health advanced nurse practitioner clinics, the multidisciplinary Epilepsy Surgery Group and specialist Obstetrical Epilepsy service is highlighted. A care cycle for pregnant women with refractory epilepsy is proposed.