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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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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
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author Behan, Claire
Hynes, Sinead
Ennis, Patricia
Khalil, Mohamed Ibrahim
Hogan, Jennifer
Brett, Francesca
Sweeney, Kieron
Kilbride, Ronan
Doherty, Colin P.
author_facet Behan, Claire
Hynes, Sinead
Ennis, Patricia
Khalil, Mohamed Ibrahim
Hogan, Jennifer
Brett, Francesca
Sweeney, Kieron
Kilbride, Ronan
Doherty, Colin P.
author_sort Behan, Claire
collection PubMed
description 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.
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spelling pubmed-102396922023-06-06 Neurosurgery for intractable epilepsy in pregnancy: A case report Behan, Claire Hynes, Sinead Ennis, Patricia Khalil, Mohamed Ibrahim Hogan, Jennifer Brett, Francesca Sweeney, Kieron Kilbride, Ronan Doherty, Colin P. Epilepsy Behav Rep 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 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. Elsevier 2023-05-25 /pmc/articles/PMC10239692/ /pubmed/37283698 http://dx.doi.org/10.1016/j.ebr.2023.100607 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Behan, Claire
Hynes, Sinead
Ennis, Patricia
Khalil, Mohamed Ibrahim
Hogan, Jennifer
Brett, Francesca
Sweeney, Kieron
Kilbride, Ronan
Doherty, Colin P.
Neurosurgery for intractable epilepsy in pregnancy: A case report
title Neurosurgery for intractable epilepsy in pregnancy: A case report
title_full Neurosurgery for intractable epilepsy in pregnancy: A case report
title_fullStr Neurosurgery for intractable epilepsy in pregnancy: A case report
title_full_unstemmed Neurosurgery for intractable epilepsy in pregnancy: A case report
title_short Neurosurgery for intractable epilepsy in pregnancy: A case report
title_sort neurosurgery for intractable epilepsy in pregnancy: a case report
topic Case Report
url 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
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