Cochrane · systematic review · CD013225

Treatments for seizures in catamenial (menstrual‐related) epilepsy

Maguire, MJ, Nevitt, SJ · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Epilepsy2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
8
No studies
4
Included studies
NR
No studies 4 · 33.3%Ungraded 0 · 0%Very low 3 · 25%Low 2 · 16.7%Moderate 3 · 25%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Norethisterone compared to placebo for seizures in catamenial epilepsy

Population: women with seizures due to catamenial epilepsy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Seizure freedom
Norethisterone vs placebo
no estimate extractedNRNo studies
Responder rate
Norethisterone vs placebo
no estimate extractedNRNo studies
Change in seizure frequency
Norethisterone vs placebo
no estimate extracted24 participantsVery low
Downgraded: risk of bias, imprecision
Number of withdrawals from the study
Norethisterone vs placebo
no estimate extracted24 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Norethisterone vs placebo
no estimate extracted15 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
Norethisterone vs placebo
no estimate extractedNRNo studies

Progesterone compared to placebo for seizures in catamenial epilepsy

Population: women with seizures due to catamenial epilepsy
6 questions
OutcomeEffectEvidenceStatus / GRADE
Seizure freedom: all seizures
Progesterone vs placebo
RR 4.03 [0.21, 76.21]1 study · 130 participantsLow
Downgraded: risk of bias, imprecision
Responder rate: 50% or greater reduction in all seizures
Progesterone vs placebo
RR 1.14 [0.56, 2.32]1 study · 130 participantsModerate
Downgraded: risk of bias, imprecision
Change in seizure frequency
Progesterone vs placebo
no estimate extracted2 studies · 166 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Number of withdrawals from the study: for any reason
Progesterone vs placebo
RR 1.56 [0.81, 3]2 studies · 168 participantsModerate
Downgraded: risk of bias, imprecision
Adverse events: any adverse event
Progesterone vs placebo
RR 0.85 [0.59, 1.24]1 study · 130 participantsModerate
Downgraded: risk of bias, imprecision
Quality of life
Progesterone vs placebo
no estimate extractedNRNo studies