[Refractory status epilepticus presenting as shaken baby syndrome]. Publisher: Estado epileptico refractario como forma de presentacion del. Abstract. HERNANDEZ ORTIZ, Olga Helena et al. Refractory status epilepticus in Instituto Neurológico de Antioquia – intensive care unit a management. El 43,9% desarrolló estado epiléptico convulsivo refractario. Fallecieron 6 pacientes (mortalidad: 14,6%) y en el 8,6 % de los supervivientes se observó un .

Author: Viktilar Negor
Country: Canada
Language: English (Spanish)
Genre: Video
Published (Last): 14 June 2007
Pages: 328
PDF File Size: 11.84 Mb
ePub File Size: 8.76 Mb
ISBN: 525-5-32032-198-2
Downloads: 51564
Price: Free* [*Free Regsitration Required]
Uploader: Mezijind

Rights to privacy and informed consent: Epileptic Disord ; The outcome of therapies in refractory and super refractory convulsive status epilepticus and recommendations for therapy.

Role of propofol in refractory status epilepticus.

Estado Epiléptico Súper-Refractario by Wilhelm Uslar on Prezi

This explains why patients with PRIS have some degree of cardiac and skeletal muscle myocytolysis It is recommended that the elimination of electrographic ictal activity is conducted through sedation, reaching a pharmacological burst-suppression pattern; a less aggressive alternative is suggested, without sedation, using antiepileptic medication in high-doses, in a step-up approach, guided by the improvement observed through cVEEG monitoring. Intravenous lidocaine for status epilepticus. Status epilepticus in an urban hospital in the s.

Morbilidad a largo plazo: A comparison of lorazepam, diazepam, and placebo for the treatment of out-of-hospital status epilepticus. The use epileptlco topiramate in refractory status epilepticus. They are explained by the similarity between coen zyme Q and propofol.


Glossary of descriptive terminology for estatus epileptico pediatria Learn more about the different estatus epileptico pediatria integrations and their epilrptico. They can last for hours or epilpetico days.

En muchos centros se utiliza de rutina en EE-SR por su efecto neuroprotector, tiene alta refractqrio de complicaciones: Lancet Neurol ; 7 8: The physiopathological mechanisms described are multiple, among them the effect of the drug on the mitochondrial level and on lipid metabolism:. Presentamos los casos de dos lactantes que en el contexto de un sindrome febril comenzaron con un estado epileptico.

A convulsive status in infants is usually triggered by a febrile syndrome secondary to an intercurrent infection or an infection affecting the central nervous system. This differs from what was found in our patient, since multiple infra and supratentorial bleeding estaus was ob served in the patient, which persist as small areas of magnetic susceptibility artifact, suggesting a hemosi derin deposition of residual nature.

This leads to an ener gy imbalance mainly in myocardial and skeletal muscle cells that are highly dependent on critical catecholami ne-mediated lipolysis and beta-oxidation of free fatty acids FFA.

Jacob T, Moss S. Effects on lipid metabolism: Levetiracetam and its cellular mechanism of action in epilepsy revisited.

[Refractory status epilepticus presenting as shaken baby syndrome].

The treatment is staggered with benzodiazepines in the first stage, broad spectrum antiepileptic drugs, and intravenous availability in the second valproic acid, levetiracetam in the generalized SE and phenytoin in the focalwhile the third level varies depending on the experience of each team.


Of the many acute precipitants described in children, infection and fever collectively constitute the most common Guidelines for prevention, detection and management of. Patients with refractory status epilepticus RSE have high morbidity and mortality rates, Estado epileptico refractario en ninos: Update on the propofol syndrome in ICU management of patients with head injury. Influence of valproate on the required dose of propofol for anesthesia during electroconvulsive therapy of bipolar affective disorder patients.


Neurology epildptico 46 4: Safety and efficacy of buccal midazolam versus rectal diazepam for emergency treatment of seizures in children: Del grupo descrito, 6 pacientes presentaron anticuerpos anti-receptor de glutamato GluR epsilon 2. As a result of the widespread use of propofol, cases of metabolic acidosis without other identifiable causes have been reported.

La evidencia es escasa pero convincente. Adaptado de Shorvon, et al.