Emergency Surgery for Refractory Status Epilepticus

Indian Pediatr. 2017 Aug 15;54(8):678-680. doi: 10.1007/s13312-017-1133-z.

Abstract

Background: Management of refractory status epilepticus in children is extremely challenging.

Case characteristics: Two children with medically refractory status epilepticus, both of whom had lesional pathology on MRI and concordant data on EEG and PET scan.

Intervention: Emergency hemispherotomy performed in both patients. A complete, sustained seizure freedom obtained postoperatively.

Message: Emergency surgery is a treatment option in selected cases of drug refractory status epilepticus with lesional pathology and concordant data.

Publication types

  • Case Reports

MeSH terms

  • Brain* / diagnostic imaging
  • Brain* / surgery
  • Child
  • Child, Preschool
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Status Epilepticus* / diagnostic imaging
  • Status Epilepticus* / surgery
  • Treatment Outcome