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Korean Journal of Anesthesiology 1998;35(2):360-364.
DOI: https://doi.org/10.4097/kjae.1998.35.2.360   
General Anesthesia for the Management of Status Epilepticus Refractory to Conventional Drugs: A case report.
Jeong Suk Kim, Young Saeng Kim, Sung Du Cho, Nam Woen Song
Department of Anesthesiology, Maryknoll Hospital, Pusan, Korea.
A 2.5-year-old female patient who has a prior history of partial seizures was admitted by generalized tonic-clonic status epilepticus secondary to tapering of phenobarbital. Tonic-clonic status epilepticus was refractory to phenytoin, phenobarbital, valproic acid, diazepam, and pentobarbital. After 4 days of unsatisfactory control of seizure activity, isoflurane was administered for 4 hours. Inspired isoflurane concentration of 1.3% were required to control seizures. Heart rate and blood pressure were supported with infusions of dopamine and fluid. After discontinuation of isoflurane, the patient developed partial seizures but seizure activity was controlled with anticonvulsants. She was discharged alive from the hospital after weaning of the ventilator.
Key Words: Anesthetics, volatile: isoflurane; Anticonvulsants: phenobarbital; phenytoin; Seizure: status epilepticus


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