Journal of Womens Health, Issues and Care ISSN: 2325-9795

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Case Report, J Womens Health Issues Care Vol: 4 Issue: 6

Refractory Status Epilepticus in a Pregnant Woman Affected by Clivus Chordoma

Candelieri M1* , Maragno AM1, Galoppi P1, Masselli G2,Brunelli R1 and Perrone G1
1Department of Gynaecology, Obstetrics and Urological Sciences, University of Rome “Sapienza”, Italy
2Department of Radiology, University of Rome “Sapienza”, Italy
Corresponding author : Miriam Candelieri
Dipartimento di Ginecologia, Ostetricia e Scienze Urologiche, Via del Policlinico 155, 00161 Roma, Italy
Tel: +393295892958
E-mail: [email protected]
Received: June 24, 2015 Accepted: November 26, 2015 Published: November 28, 2015
Citation: Candelieri M , Maragno AM, Galoppi P, Masselli G, Brunelli R, et al. (2015) Refractory Status Epilepticus in a Pregnant Woman Affected By Clivus Chordoma. J Womens Health, Issues Care 4:6. doi:10.4172/2325-9795.1000213

Abstract

Status epilepticus (SE) is a rare but potentially life threatening complication that women with epilepsy may experience during pregnancy. Refractory status epilepticus (RSE) is defined as an epileptic status which is unresponsive to early standard antiepileptic medical treatments; it has been reported that in pregnant women affected by other diseases (systemic lupus erythematosus, porphyria, vitamin B6 deficiency and cavernous angioma) this status spontaneously resolved only after delivery. We report the case of a primigravida 29-year-old epileptic woman who was admitted to the Emergency Room at 25 weeks of gestation with RSE and a confused mental state. Her Electroencephalography documented repeated seizures not controlled by medical treatments, for this reason she was then sent to the Intensive Care Unit. The patient had no known risk factors. Her cranial magnetic resonance revealed a clivus chordoma, a rare, slow-growing neoplasm, characterized by locally aggressive growth patterns and high local recurrence rates. Spontaneous premature delivery at 26 weeks and three days brought an almost immediate cessation of seizures.

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