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  Vol. 62 No. 8, August 2005 TABLE OF CONTENTS
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Maternal Complex Partial Seizure Associated With Fetal Distress

Sanjiv Sahoo, MD; Pavel Klein, MB BChir

Arch Neurol. 2005;62:1304-1305.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

We describe a 43-year-old woman who had a complex partial seizure in the seventh month of pregnancy with simultaneous fetal heart rate monitoring. The seizure was accompanied by fetal heart rate decelerations, indicating fetal distress. Maternal partial seizures can be associated with fetal distress.


REPORT OF A CASE

A 43-year-old woman with complex partial seizures secondary to 3 radiographically stable cavernous hemangiomas in both frontal and the left parietal lobes had been followed up for 3 years at the Georgetown University Hospital Epilepsy Center. Seizures had begun at the age of 21 years. They consisted of blank staring and unresponsiveness lasting several minutes, followed often by aimless wandering and verbalization and, occasionally, by backward counting, with a mean seizure frequency of 0.5 seizures per month. Only 3 of her seizures had ever become secondarily generalized convulsions. Past unsuccessful treatments had included phenytoin sodium, phenobarbital sodium, and valproic . . . [Full Text of this Article]

COMMENT

AUTHOR INFORMATION

Author Affiliations: Department of Neurology, MedStar Health and Georgetown University Hospital, Washington, DC. Dr Klein is now with Mid-Atlantic Epilepsy & Sleep Center, Bethesda, Md.







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