Intraoperative refractory status epilepticus caused by propofol -a case report
| Autor: | Kumar, Abhyuday, Kumar, Amarjeet, Kumar, Neeraj, Kumar, Ajeet |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Phenytoin
Case Report Status epilepticus anesthesia Fentanyl lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology medicine intraoperative complications Dexmedetomidine status epilepticus propofol business.industry 030208 emergency & critical care medicine myoclonus Discontinuation tonic-clonic seizure Anesthesiology and Pain Medicine lcsh:Anesthesiology Anesthesia Intraoperative Period medicine.symptom business Propofol Myoclonus medicine.drug |
| Zdroj: | Korean Journal of Anesthesiology, Vol 74, Iss 1, Pp 70-72 (2021) Korean Journal of Anesthesiology |
| ISSN: | 2005-7563 2005-6419 |
| Popis: | Background: Status epilepticus, when continued despite the administration of two antiepileptic drugs, is called refractory status epilepticus (RSE). The seizure-like phenomenon due to propofol is widely reported in the literature. However, RSE caused by propofol is rare and is a diagnostic dilemma. Case: A 44-year-old male patient presented with RSE during the intraoperative period and was under general anesthesia on propofol infusion. The seizure was resistant to benzodiazepines and phenytoin. Thereafter, the seizure subsided after the discontinuation of propofol infusion, and the patient was shifted to fentanyl and dexmedetomidine infusion for the maintenance of anesthesia. The postoperative follow-up was uneventful. Conclusions: This article focuses on the management of intractable intraoperative seizure and highlights the need for the exploration of seizure characteristics caused by propofol. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|