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| Epilepsy and Pregnancy: Problem of Diagnosis and Management (Case Report and Literature Review) |
B. LEMHABA, M. Mohamed Lemine, E. LEMRABOT, K.Saoud, N. Mamouni, S. ERRARHAY, C. BOUCHIKHI, A. BANANI
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Abstract:
Epilepsy is a chronic disease characterized by severe personal and social consequences. Because of its prevalence and socio-cultural consequences, it is a real public health problem. It can occur at any age. Epilepsy is one of the most frequent chronic pathologies affecting women of childbearing age. Pregnancies in epileptic patients are said to be at risk because of the risk of fetomaternal complications (FMC). Pregnancy in women with epilepsy requires preventive care before conception. This is not feasible in case of inaugural epilepsy during pregnancy, hence the difficulty of diagnosis and management. A good coordination between the obstetrician, the neurologist and the couple is necessary. We report the case of a young 23 year old primigravida patient admitted for the management of a seizure disorder in an 8 month old pregnancy without follow-up, with normal tantional figures, a biological check-up without any particularity and a negative proteinuria, a caesarean section for maternal and fetal rescue was performed with the birth of a premature newborn Abgar of 9/10 at the 5th minute; The gestational age was estimated by the neonatologist at 34 weeks of amenorrhea, the cerebral scanner was without anomaly. The patient was put under anticonvulsant and antiepileptic drugs with the occurrence of convulsive seizures in the post partum period. The realization of the electric exploration was in favor of the diagnosis of epilepsy
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