What should be done if a female epileptic patient with seizures is presented to you during her menses? How to assess such patient? What is recommended management of such patient? This article provides a brief introduction on some of the modalities. When during the menses female patient is presented with recurrent seizures, often the clinicians suspect that it may be catamenial epilepsy.
Catamenial epilepsy refers to a pattern of seizure clustering that is related to menstrual cycle. The definition of the catamenial epilepsy is quite debated amongst the clinicians. The most accepted criterion is the doubling of the baseline seizure frequency during a specific phase of menstrual cycle. Catamenial epilepsy does not describe seizure localization, seizure type or epilepsy syndrome. Studies which used definition mentioned above have shown that approximately one-third woman with refractory…
