Volume 45, Issue 1 pp. 81-84

Pharmacorefractory Status Epilepticus Due to Low Vitamin B6 Levels during Pregnancy

Andreas Schulze-Bonhage

Andreas Schulze-Bonhage

Epilepsy Centre, University of Freiburg, Freiburg

Clinic of Epileptology

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Martin Kurthen

Martin Kurthen

Clinic of Epileptology

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Peter Walger

Peter Walger

Department of Internal Medicine, University of Bonn, Bonn, Germany

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Christian E. Elger

Christian E. Elger

Clinic of Epileptology

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First published: 24 December 2003
Citations: 25
Address correspondence and reprint requests to Dr. A. Schulze-Bonhage at Epilepsy Centre, Neurocentre, University of Freiburg, Breisacher Str. 64, D-79106 Freiburg, Germany. E-mail: [email protected]

Abstract

Summary:  We report a patient with pyridoxine-dependent epileptic seizures during early childhood. She had been completely seizure free for 23 years until she became pregnant. During the week 14 of her pregnancy, status epilepticus developed and was refractory to antiepileptic drugs but responded to intravenous administration of vitamin B6. Vitamin B6 levels were found to be decreased during pregnancy, although the patient reported continued and regular oral supplementation. Possible reasons for decreased vitamin B6 levels leading to status epilepticus are discussed.

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