All women’s bodies react differently to pregnancy. For most pregnant women who have epilepsy, seizures remain the same. For a few, seizures become less frequent. For others, particularly women who are sleep deprived or don’t take medication as prescribed, pregnancy increases the number of seizures.
Can pregnancy hormones cause seizures?
Some women are at greater risk of having a seizure during pregnancy and at certain times of their menstrual cycle because of changing levels of the hormones estrogen and progesterone. These hormones continually increase and decrease throughout a woman’s life.
Is seizure normal during early pregnancy?
Seizure frequency fortunately declines or remains the same in the majority of women during pregnancy. Yet in 15% to 30% of women, there may be an increase in seizure frequency, most often in the first or third trimester.
Can pregnancy affect epilepsy?
It’s difficult to predict how pregnancy will affect epilepsy. Your epilepsy may be unaffected, or you may see an improvement in your condition. However, as pregnancy can cause physical and emotional stress, as well as increased tiredness, your seizures may become more frequent.
What causes epilepsy during pregnancy?
What causes eclampsia? Eclampsia often follows preeclampsia, which is characterized by high blood pressure occurring in pregnancy and, rarely, postpartum. Other findings may also be present such as protein in the urine. If your preeclampsia worsens and affects your brain, causing seizures, you have developed eclampsia.
Are seizures common during pregnancy?
Most seizures during pregnancy occur in women who already have epilepsy. During pregnancy most women will continue their previous level of seizure control, although 15-30% may experience an increase in seizures.
Can you have seizures for no reason?
Anything that interrupts the normal connections between nerve cells in the brain can cause a seizure. This includes a high fever, high or low blood sugar, alcohol or drug withdrawal, or a brain concussion. But when a person has 2 or more seizures with no known cause, this is diagnosed as epilepsy.
Can stress cause seizures?
Emotional stress also can lead to seizures. Emotional stress is usually related to a situation or event that has personal meaning to you. It may be a situation in which you feel a loss of control. In particular, the kind of emotional stress that leads to most seizures is worry or fear.
How are seizures treated during pregnancy?
Of the new anti-seizure medications, lamotrigine and levetiracetam are the most widely used due to their known safety during pregnancy. Clearance of lamotrigine and levetiracetam doubles during pregnancy compared to before pregnancy.
Does pregnancy lower seizure threshold?
Pregnancy is associated with a number of physiological, endocrine and psychological changes, any or all of which might contribute to lowering the seizure threshold. Physiological changes during pregnancy alter the pharmacokinetics of AEDs, which may result in lower levels and seizure deterioration in WWE.
Can folic acid cause seizures?
Folic acid was initially suspected to be epileptogenic 1, but that concern has been resolved, as research has demonstrated that folic acid in less than supraphysiologic concentrations does not promote seizures.
What does folic acid do for epilepsy?
Most experts agree that folic acid supplementation is a key preconception intervention, particularly in women with epilepsy who take anti-epileptic drugs (AEDs). Primary prevention of neural tube defect through folic acid supplementation results in reduction of risk in an otherwise healthy population.