Resective surgery to treat refractory status epilepticus in children with focal epileptogenesis

被引:65
作者
Alexopoulos, A
Lachhwani, DK
Gupta, A
Kotagal, P
Harrison, AM
Bingaman, W
Wyllie, E
机构
[1] Cleveland Clin Fdn, Sect Pediat Epilepsy & Pediat Neurol, Dept Neurol, Cleveland, OH 44195 USA
[2] Cleveland Clin Fdn, Dept Pediat Crit Care Med, Cleveland, OH 44195 USA
[3] Cleveland Clin Fdn, Dept Neurosurg, Cleveland, OH 44195 USA
关键词
D O I
10.1212/01.WNL.0000150580.40019.63
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Prolonged high-dose suppressive therapy (HDST) is a mainstay in the management of refractory status epilepticus (RSE), albeit with high morbidity and mortality. The authors studied 10 patients who were carefully selected for epilepsy surgery after failing prolonged (>2 weeks) HDST. Status epilepticus was stopped acutely in all of them with no mortality and no substantial morbidity. At follow-up (median 7 months), 7 (70%) of 10 patients were seizure free, and 3 (30%) of 10 had significant improvement in their epilepsy.
引用
收藏
页码:567 / 570
页数:4
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