Emergent responsive neurostimulation in pediatric super-refractory epilepsia partialis continua

Ann Clin Transl Neurol. 2024 Dec;11(12):3320-3327. doi: 10.1002/acn3.52199. Epub 2024 Nov 14.

Abstract

Focal status epilepticus, particularly the motor variant of epilepsia partialis continua (EPC), is a rare condition characterized by near-continuous, chronic focal motor seizures, and associated with poor outcomes. Medications, including anesthetics, are often unsuccessful. Surgical resection can result in motor deficits. We report a medically complex pediatric case of super-refractory EPC that was successfully managed with combined focal resection and responsive neuromodulation. This case introduces neuromodulation as a treatment modality for this challenging condition.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Drug Resistant Epilepsy / therapy
  • Electric Stimulation Therapy / methods
  • Epilepsia Partialis Continua* / therapy
  • Female
  • Humans
  • Male