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A Young Woman with Jerking Movements 

A Young Woman with Jerking Movements

Chapter:
A Young Woman with Jerking Movements
Author(s):

M. Angela O’Neal

DOI:
10.1093/med/9780190609917.003.0002
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date: 22 July 2017

The case raises some of the important points to consider when choosing an antiepileptic drug, AED, for women with epilepsy, WWE. The most important factor is to define the epilepsy type, as many AEDs are not efficacious for primary generalized epilepsy. Knowing the interaction of an AED with contraceptives is also vital in order to prevent an unplanned pregnancy. Folate supplementation is recommended to decrease the risk of neural tube defects. It should be initiated at the same time as the prescription for an AED. For women in the reproductive years, the least teratogenic AED that is effective for their epilepsy should be chosen.

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