Resolution of Catamenial Epilepsy after Goserelin Therapy and Oophorectomy: Case Report of Presumed Cerebral Endometriosis

Vilos, George A.; Hollett-Caines, Jackie; Abu-Rafea, Basim; Ahmad, Riad; Mazurek, Michel F.

doi:10.1016/j.jmig.2010.09.002

Cited by 16 publications

(20 citation statements)

References 7 publications

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“…As involvement of these nerves produces practically only non‐specific pelvic pain, it would not be feasible to provide a complete review of pelvic autonomic nervous system involvement. The literature search also revealed cases of catamenial headaches and epilepsy, and although in many EM can be suspected as a cause (Vilos et al, ), without histological confirmation they were not included.…”

Section: Methodsmentioning

confidence: 99%

Neural involvement in endometriosis: Review of anatomic distribution and mechanisms

et al. 2015

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Endometriosis (EM) is an infrequent cause of peripheral neuropathy, most commonly sciatic. Perineural spread has recently been introduced as an alternate explanation for cases of lumbosacral or sciatic nerve EM. We performed a literature review to collect all reported cases of peripheral and central nervous system EM in search of anatomic patterns of involvement; potentially to support the perineural spread theory. If available, intraneural invasion and presence of peritoneal EM were recorded. The search revealed 83 articles describing 365 cases of somatic peripheral nervous EM and 13 cases of central nervous EM. The most frequently involved site was the sacral plexus (57%, n = 211), followed by the sciatic nerve (39%, n = 140). Other nerves were reported in significantly smaller numbers. Ninety seven percent (97%, n = 355) of peripheral nerve cases presented with pain, 20% (n = 72) reported weakness and 31% (n = 114), numbness. Thirty four percent (34%, n = 38) had solely intraneural EM of which 89% (n = 33) had no peritoneal EM (percentage based on available information). In the central nervous system, the conus medullaris and/or cauda equina constituted the majority of cases with 54% (n = 7). Apart from perineural spread, other discussed mechanisms include retrograde menstruation with peritoneal seeding, hematogenous and lymphogenous spread, stem cell implantation either hematogenously or via retrograde menstruation with subsequent EM differentiation, and coelomic or Müllerian duct metaplasia. We believe this literature review supports perineural spread as an alternate mechanism for EM of nerve, particularly the subgroup with intraneural EM and without peritoneal disease.

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Section: Methodsmentioning

confidence: 99%

Neural involvement in endometriosis: Review of anatomic distribution and mechanisms

et al. 2015

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“…The patient was thought to have cerebral endometriosis, a rare phenomenon that resulted in catamenial epilepsy. 10 Of course, this subject, is not related with the type of catamenial epilepsy presented in our report. Additional research is necessary to answer the question whether female sex hormones and sleep may engage interaction to produce catamenial-sleep epilepsy.…”

Section: Discussionmentioning

confidence: 44%

“…All neurological symptoms resolved completely after treatment with gonadotropin‐releasing hormone agonist for three months and subsequent laparoscopic bilateral oophorectomy. The patient was thought to have cerebral endometriosis, a rare phenomenon that resulted in catamenial epilepsy . Of course, this subject, is not related with the type of catamenial epilepsy presented in our report.…”

Section: Discussionmentioning

confidence: 50%

Catamenial-sleep epilepsy: A case report

Poblano

Haro

Angel-Alavez

2013

Sleep and Biological Rhythms

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Our objective was to report the co‐occurrence of seizures during sleep and epilepsy during the menstrual period in a patient. We observed a 22‐year‐old woman with seizures during sleep; the seizures were related to menstruation. The episodes were of partial onset and secondarily generalized. She was under drug control. The patient's neurological examination and magnetic resonance imaging (MRI) were normal. Hormonal determination was within normal range for progesterone and estrogens. The polysomongraphy‐electroencephalogram (PSG‐EEG) disclosed discharges in the left fronto‐temporal area. Based on our observations, we recommend serial PSG‐EEG to identify discharges in patients with catamenial‐sleep epilepsy for a more comprehensive diagnosis.

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“…We considered also cerebral endometriosis, a rare complication of a rather frequent disease. Extrapelvic manifestations, such as gastrointestinal and genitourinary tracts, are widely known but single cases with brain lesions were also described [14,15]. In our case, no gynecological disorders were found.…”

Section: Discussionmentioning

confidence: 49%

Multiple Metastatic Intracranial Lesions Associated with Left Atrial Myxoma

et al. 2014

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SummaryBackgroundOne of the most common cardiac tumors is myxoma. Despite its predominantly benign course, diverse cardiological, systemic as well as neurological complications have been reported.Case ReportWe are the first from Poland to present the case of a patient with multiple central nervous system metastases associated with the left atrial myxoma. Various diagnostic, neuroradiological and histopathological procedures were described. The patient underwent cardiac surgery.ConclusionsFollow-up studies excluded the recurrence of the heart tumor and confirmed partial resolution of brain metastases. Nevertheless, subsequent neurological assessment was advised according to the literature data and possible late relapses mainly due to cerebral emboli.

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Resolution of Catamenial Epilepsy after Goserelin Therapy and Oophorectomy: Case Report of Presumed Cerebral Endometriosis

Cited by 16 publications

References 7 publications

Neural involvement in endometriosis: Review of anatomic distribution and mechanisms

Neural involvement in endometriosis: Review of anatomic distribution and mechanisms

Catamenial-sleep epilepsy: A case report

Multiple Metastatic Intracranial Lesions Associated with Left Atrial Myxoma

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