Sevoflurane for the Management of Refractory Status Epilepticus : A case report.
10.4097/kjae.2007.52.4.475
- Author:
Sun Hee KIM
1
;
Myung Hwa HA
;
Nam Won SONG
;
Sang Ho JEONG
Author Information
1. Department of Anesthesiology and Pain Medicine, Maryknoll Hospital, Busan, Korea. h3338@dreamwiz.com
- Publication Type:Case Report
- Keywords:
anticonvulsants;
refractory status epilepticus;
sevoflurane
- MeSH:
Anticonvulsants;
Child;
Humans;
Infant;
Inhalation;
Male;
Seizures;
Seizures, Febrile;
Status Epilepticus*
- From:Korean Journal of Anesthesiology
2007;52(4):475-478
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Refractory status epilepticus is defined as seizure activity that continues after treatment with conventional anticonvulsants. An 8-month-old male had an operation for repair of small bowel perforation, and he suffered a febrile seizure that developed into refractory status epilepticus. Febrile seizure is the most common etiology for children with status epilepticus. We report here on a case of a patient with refractory status epilepticus, and he was managed with sevoflurane, an inhalational anesthetic. The patient was given an inspired concentration of 0.6-2 vol% sevoflurane for 15 days. After stopping of sevoflurane inhalation, he continued to experience intermittent convulsive status epilepticus that was successfully managed with using conventional anticonvulsants.