Catamenial epilepsy
Pronunciation: kat-ah-MEE-nee-al
Epilepsy with seizures that cluster around menstrual cycle phases due to hormonal fluctuations. Important consideration in women of reproductive age.
Full Definition
Catamenial epilepsy refers to a pattern of seizure exacerbation that occurs in relationship to the menstrual cycle in women with epilepsy. Three distinct patterns are recognized: perimenstrual (around menstruation), periovulatory (around ovulation), and luteal phase (inadequate luteal phase). The cyclical nature is attributed to fluctuations in estrogen and progesterone levels, with estrogen generally being proconvulsant and progesterone having anticonvulsant properties. Recognition of this pattern is important for treatment planning and may influence contraceptive choices and hormone replacement therapy decisions.
Usage
Usage note: From Greek 'katamenia' meaning menstrual discharge. Maintain proper pronunciation guide.
In Context
- "The patient's seizure diary revealed a clear pattern of catamenial epilepsy with increased seizures during menstruation." — Women's epilepsy clinic note
- "Treatment of catamenial epilepsy may include cyclic progesterone therapy or adjustment of antiseizure medications." — Treatment guideline