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Have Tonic Clonic Seizures Before Or After Period. Could Menses Stimulate Vagus Nerve At This Time And Trigger A Seizure?

my 18 year old daughter has tonic clonic seizures just before or after her period. In the past she had a problem with taking suppositories for constipation because of her vagus nerve (she would almost pass out). Could her menses stimulate her vegus nerve at this time and trigger a seizure?
Tue, 10 Dec 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

It is common for certain types of seizures to get aggravated during the menstrual periods. This is referred to as catamenial epilepsy. This phenomena is related to hormonal influence rather than vagus nerve stimulation.

Similar situation can occur in women with migraine, which can get worse during periods, referred to as catamenial or menstrual migraine.

In your daughter's case, taking clobazam for a week during periods would help reduce the chances of seizure recurrence during that period.

I hope my answer helps. Please get back if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

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Have Tonic Clonic Seizures Before Or After Period. Could Menses Stimulate Vagus Nerve At This Time And Trigger A Seizure?

Hi, Thank you for posting your query. It is common for certain types of seizures to get aggravated during the menstrual periods. This is referred to as catamenial epilepsy. This phenomena is related to hormonal influence rather than vagus nerve stimulation. Similar situation can occur in women with migraine, which can get worse during periods, referred to as catamenial or menstrual migraine. In your daughter s case, taking clobazam for a week during periods would help reduce the chances of seizure recurrence during that period. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, India Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in