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Arquivos de Medicina

On-line version ISSN 2183-2447


RODRIGUES, Carla Tovim et al. Epilepsy and pregnancy: what management?. Arq Med [online]. 2005, vol.19, n.1-2, pp.39-41. ISSN 2183-2447.

Epilepsy is the most common neurological disturbance during pregnancy. The vast majority of these pregnancies are uncomplicated, but there are increased obstetric risks and increased adverse neonatal outcomes compared with the general population. Antiepileptic treatment during pregnancy is associated with two to three-fold increase in the rate of major congenital anomalies. The authors present a case report of a pregnant woman with epilepsy since 20 years old, with difficult control of seizures. The first pregnancy, in witch she was treated with valproate, was terminated at 23 weeks’ gestation because the fetus developed a spina bifida. In a pre conceptional consultancy she was treated with carbamazepina and acid folic supplementation. She get pregnant after a good control of the disease, and had a healthy child.

Keywords : pregnancy; epilepsy; prenatal screening.

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