Effectiveness of Electroconvulsive Therapy for Refractory Status Epilepticus in Febrile Infection-Related Epilepsy Syndrome.
| Autor: | Mirás Veiga A; Department of Pediatric Intensive Care Unit, Hospital Universitario de Burgos, Burgos, Spain., Moreno DC; Department of Pediatric Neurology, Hospital Universitario de Burgos, Burgos, Spain., Menéndez AI; Department of Neurophysiology, Hospital Universitario de Burgos, Burgos, Spain., Siscart IM; Department of Psychiatry, Hospital Universitario de Burgos, Burgos, Spain., Fernández MD; Department of Pediatrics, Hospital Río Carrión, Palencia, Spain., Sánchez EG; Department of Pediatric Intensive Care Unit, Hospital Universitario de Burgos, Burgos, Spain., González MG; Department of Pediatric Intensive Care Unit, Hospital Universitario de Burgos, Burgos, Spain., Sáez FG; Department of Pediatric Intensive Care Unit, Hospital Universitario de Burgos, Burgos, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | Neuropediatrics [Neuropediatrics] 2017 Feb; Vol. 48 (1), pp. 45-48. Date of Electronic Publication: 2016 Jul 19. |
| DOI: | 10.1055/s-0036-1584939 |
| Abstrakt: | Febrile infection-related epilepsy syndrome (FIRES) is a rare condition which evolves into refractory status epilepticus (SE), with poor outcome in most cases. Conventional antiepileptic drugs fail to control SE in FIRES patients. We report the case of a previously healthy 4-year-old boy who was diagnosed with FIRES. One week after pharyngitis and high fever he started seizures, followed by refractory SE. Benzodiazepines, phenytoin, high-dose barbiturates that induce burst suppression, high doses of corticosteroids, plasmapheresis, immunoglobulins, propofol, lidocaine, ketamine, inhaled desflurane, ketogenic diet, lacosamide, and therapeutic hypothermia were tried at different times in a period of 8 weeks, but all of them were ineffective. Electroconvulsive therapy (ECT) has been used in refractory SE in children. We report a case in which ECT was successfully used for treatment of refractory SE in a pediatric patient with FIRES syndrome. (Georg Thieme Verlag KG Stuttgart · New York.) |
| Databáze: | MEDLINE |
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