How refractory is super-refractory status epilepticus? | Pediatric Oncall Journal

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How refractory is Super-refractory Status Epilepticus?

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Volume 14, Issue 2

April-June 2017
Pages: 29-30

DOI:
https://doi.org/10.7199/ped.oncall.2017.40

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Ahmed R. How refractory is Super-refractory Status Epilepticus?. Pediatr Oncall J. 2017;14: 29-30. doi: 10.7199/ped.oncall.2017.40

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How refractory is Super-refractory Status Epilepticus?

Riaz Ahmed.

Department of Pediatric Neurology, King Fahad Military Hospital, Jeddah, Saudi Arabia.

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Abstract
Super-refractory status epilepticus is continuous un-abated, prolonged seizure activity lasting more than 24 hours despite aggressive treatment including general anesthesia. There is ongoing serious damage to the neuraxis in such cases if seizures continue over longer time. The important issue in the management is to prevent the damage by interfering its activity liberally in the initial stage of the seizures itself. As the seizures continue, structural as well molecular changes of the neurons could interfere in the management profile also, however aggressive, it could be.

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