epilepsy_pregnancy-Kandeel

epilepsy_pregnancy-Kandeel - Epilepsy in Pregnancy Epilepsy...

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Epilepsy in Pregnancy Epilepsy in Pregnancy BY BY Mohamed A.S. Kandeel Mohamed A.S. Kandeel (M.B.B.CH., M.Sc.(Ob/Gyn), M.D.(Ob/Gyn) (M.B.B.CH., M.Sc.(Ob/Gyn), M.D.(Ob/Gyn) Professor of Obstetrics and Gynecology Professor of Obstetrics and Gynecology Menofyia University Menofyia University Egypt Egypt
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Learning Objectives Learning Objectives At the end of this presentation, you should: 1-Understand the effects of pregnancy on epilepsy and the complications that epilepsy may have on pregnancy, lactation and neonate. 2-Be able to outline a management plan for an epileptic pregnant woman. 3-Be aware of the different AEDs, their toxic effects and the safest drug that can be used in pregnancy.
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Definition and Incidence Definition and Incidence Epilepsy is recurring spontaneous seizures due to sudden excessive and disordered electrical discharge from the neurones of the Cerebral cortex. It is estimated that 7% of epileptic women become pregnant and epilepsy affects about 0.5-1% of pregnant women. Epilepsy can be partial or generalized.
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Classification Of Epilepsy Classification Of Epilepsy A- Partial Seizures (Focal Seizures): This is the commonest type and is subcategorized as : 1-Simple Partial Seizures (Jacksonian epilepsy): The affected woman does not lose consciousness but may experience confusion, tingling, or odd mental and emotional events. Such events may include déjà vu phenomenon, mild hallucinations, or extreme responses to smell and taste. After the seizure, the patient usually has temporary weakness in certain muscles.
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Classification Of Epilepsy Classification Of Epilepsy 2- Complex Partial Seizures (>50% in adults): They can result in loss of judgment, involuntary uncontrolled behavior & loss of consciousness. Prior to the actual seizure, some people may experience a warning aura, which can be an odd odor, a feeling of warmth, or a visual or auditory hallucination. They then may lose consciousness briefly and appear to others as motionless with a vacant stare. After a few seconds, some may begin to perform repetitive movements, such as chewing or smacking of lips. Episodes usually last no more than two minutes. Ocassionally a simple or complex partial seizures evolve into secondarily generalized seizures. The progress may be so rapid that the partial stage is not even noticed.
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Classification Of Epilepsy Classification Of Epilepsy B- Generalized Seizures They occur in more diffuse areas of the brain and they have more serious effect on the patient. They are further subcategorized as follows: 1-Tonic-Clonic (Grand Mal) Seizures: a- The tonic phase : muscles suddenly contract, causing the patient to fall and lie rigidly for about 10 to 30 seconds. Some people experience aura; most, lose consciousness without warning. If the throat or larynx is affected, stridor occurs when the patient inhales. b-The
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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epilepsy_pregnancy-Kandeel - Epilepsy in Pregnancy Epilepsy...

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