Patient: Female, 30 years old, has been suffering from epilepsy for more than 20 years, the first seizure should be in kindergarten, at that time did not care, and did not diagnose epilepsy, the second seizure when the first year of junior high school, then began to Taishan Central Hospital and Taishan 88 Hospital to see, to no avail, and then to the Taian Difficult Disease Clinic to find Wu Jurin (he has passed away), a few years to eat Chinese medicine, and then after his death, began to eat After he passed away, he started to take carbamazepine, and has been taking it until now. Since taking carbamazepine, I have never had a major seizure, but sometimes I have a small seizure around the time of my menstruation, just a few seconds of disorientation. Just eyes rolling upwards, but conscious. I am now 30 years old and want to have a child. I would like to ask for advice on what kind of treatment I can get, preferably without surgery, so that I can see the smallest dose of medication, get pregnant and breastfeed, and minimize the damage to the baby… Please help! Wang Aihua, Department of Neurology, Shandong Qianfo Mountain Hospital
Patient: Dr. Wang: Hello! I have been treated many years ago, since the age of 18 years after eating carbamazepine has not been treated, it has been controlled by drugs, the previous examination film, long gone, I would like to ask, if you can be treated here, can always be good, or will see the amount of drugs within the controllable range, I can go directly to your hospital to see treatment. I have consulted with many doctors, and they all have their own strengths, some for trauma, some for children, each with a different focus, so I would like to ask if you have good results for women with epilepsy like mine. If you have treated me in the past and have good results, I can go directly to your hospital and talk to you face to face.
Wang Aihua, Department of Neurology, Shandong Qianfo Mountain Hospital: Now I wonder how much carbamazepine you are taking? You should take the smallest dose to control seizures before pregnancy to minimize the effect on the fetus. If you only have occasional seizures around your menstrual period and they are disoriented seizures, see if you can gradually reduce the medication until you stop or switch to a drug with fewer side effects: such as Librium or Keplar, which are the two drugs with the least side effects reported abroad. Don’t be nervous, 90% of women with epilepsy have a normal delivery and a healthy baby. Always take folic acid in the first few months of pregnancy.