DEALING WITH UNCONTROLLED SEIZURE IN CATAMENIAL EPILEPSY: A CASE REPORT

Machlusil Husna (Epilepsy Division, Neurology Department, Universitas Brawijaya/Saiful Anwar General Hospital, Indonesia)
I Wayan Arsana Wiyasa (Fertility, Endocrinology, and Reproduction Division, Obstetrics and Gynecology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia)
Ria Damayanti (Epilepsy Division, Neurology Department, Universitas Brawijaya/Saiful Anwar General Hospital, Indonesia)
Syah Sembung Wasiso (Obstetrics and Gynecology Resident, Obstetrics and Gynecology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia)
Fahimma Fahimma (Neurology Resident, Neurology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia)
Kartika Agustina (Neurology Resident, Neurology Department, Universitas Brawijaya/ Saiful Anwar General Hospital, Indonesia)

MNJ (Malang Neurology Journal)
Vol. 9 No. 1 (2023): January

Catamenial epilepsy refers to a seizure pattern that coincides with the menstrual period. Patients with catamenial epilepsy often leads to intractable epilepsy and may have an adverse impact on quality of life. Several medications are the therapeutic options, however, there is uncertainty regarding the best treatment, and these medications often fail to control the seizure. This makes catamenial epilepsy categorized as pharmaco-resistant epilepsy. This paper reported a case of perimenstrual catamenial epilepsy with an uncontrolled seizure problem. Seizures still occur with optimal management, and thereby clinicians must continue to re-evaluate clinical conditions and treatment selection to achieve optimal management. Personalized-based treatment should be considered in catamenial epilepsy management. This report discusses the challenges of catamenial epilepsy, understanding the catamenial process, and dealing with the problem with a practical personalized approach.