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Fetal seizure: A video recording and possible etiology
Author(s) -
Takahashi Hironori,
Matsubara Teppei,
Horie Kenji,
Kobayashi Ami,
Furukawa Rieko,
Matsubara Shigeki
Publication year - 2019
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14016
Subject(s) - medicine , cardiotocography , umbilical artery , epilepsy , fetus , etiology , video recording , obstetrics , pregnancy , psychiatry , genetics , biology , computer graphics (images) , computer science
Fetal seizure is rarely observed. Investigation of both video‐recording of seizures and cardiotocography is crucial for a precise diagnosis. Here, we report a case of fetal seizure, and also show a video‐ultrasound recording. A 40‐year‐old woman was admitted to us due to loss of variability in cardiotocography. Ultrasound repeatedly revealed opisthotonus‐like and clonic‐seizure‐like movements. After the abnormal movement, tachycardia up to 210 bpm (postictal tachycardia) was noted. Ultrasound revealed a nuchal cord. A careful investigation of video‐ultrasound recording by an epilepsy specialist led to the confirmation of epileptic seizures. At 36 4/7 , she vaginally gave birth to an infant with an umbilical artery pH of 7.22. The infant died 30 min after birth. No clear video‐recordings associated with fetal seizure were available for cases reported so far in the literature. The video provided in this case may be of use for further analyses.