[Seizures in pregnancy: not always eclamptic seizures]. / Een insult tijdens de zwangerschap.
Ned Tijdschr Geneeskd
; 1672023 11 27.
Article
en Nl
| MEDLINE
| ID: mdl-38175548
ABSTRACT
BACKGROUND:
The differential diagnosis of seizures during pregnancy is extensive and includes potentially fatal underlying diagnoses. Both pregnancy and non-pregnancy related aetiologies should be considered. CASE DESCRIPTION A 38-years old pregnant woman presented to the emergency department at 31 weeks and 5 days with generalized tonic-clonic seizures. Initial an eclamptic seizure was suspected. Because the seizures lasted despite treatment with magnesium sulphate and anti-epileptic medication. Imaging of the head was performed and a brain tumour was suspected and a biopsy revealed the presence of a high-grade glioma. At 37 weeks of gestation, labour was induced and the patient delivered a healthy daughter. The patient was then palliatively treated with antiepileptic drugs and chemotherapy.CONCLUSION:
Structural brain changes caused by a high-grade gliomas represent a rare cause of seizure during pregnancy, emphasizing the importance of considering non-obstetric causes of seizures in pregnant women.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Convulsiones
/
Neoplasias Encefálicas
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Límite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
2023
Tipo del documento:
Article
Pais de publicación:
Países Bajos