Abstract | RATIONALE: PATIENT CONCERN: DIAGNOSES: Considering her medical history, EEG, and magnetic resonance images, and brain computed tomography, a diagnosis of refractory SE in BECTS was confirmed. INTERVENTIONS: OUTCOMES: The prolonged seizure was controlled by diazepam (4 mg/h), propofol (6 mg/kg/h), VPA (2400 mg/d intravenous injection). Subsequently, she was administered VPA (800 mg/d po), OXC (600 mg/d po), and LEV (1000 mg/d po). Finally, on the 17th day she was discharged, and did not have any seizure recurrence and EEG results were normal as noted during the 3-month follow-up. LESSONS: This was the first report of an SE in BECTS patient past the remission age. This report implied that interventions of sedation or analgesia in a patient after remission age of BECTS might still be at risk of refractory SE and therefore, should be carefully evaluated and monitored during such procedures, especially when an AED medication has been withdrawn or altered.
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Authors | Lu Lu, Weixi Xiong, Yingying Zhang, Yingfeng Xiao, Dong Zhou |
Journal | Medicine
(Medicine (Baltimore))
Vol. 98
Issue 27
Pg. e16257
(Jul 2019)
ISSN: 1536-5964 [Electronic] United States |
PMID | 31277145
(Publication Type: Case Reports, Journal Article, Review)
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Chemical References |
- Hypnotics and Sedatives
- Propofol
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Topics |
- Adolescent
- Electroencephalography
- Epilepsy, Rolandic
(physiopathology)
- Female
- Humans
- Hypnotics and Sedatives
(adverse effects, therapeutic use)
- Magnetic Resonance Imaging
- Propofol
(adverse effects, therapeutic use)
- Status Epilepticus
(chemically induced, diagnosis)
- Tomography, X-Ray Computed
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