| Clinical Experience of General Anesthesia in a Child with Status Epilepticus Induced by Febrile Convulsion: A case report. |
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Jun Rho Yoon, Tae Kwan Kim, Ho Sik Moon, Si Hyun Kim, Jin Seo Kim, Byung Hyun Hwang |
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Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea. jryoon@hth.cuk.ac.kr |
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| Abstract |
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When continuous seizures are refractory to conventional intravenous anticonvulsant drugs, general anesthesia has been recommended to control status epilepticus. We present the case of a 6-year-old male patient who was admitted for generalized tonic-clonic status epilepticus secondary to febrile convulsion due to an upper respiratory infection.
The tonic-clonic status epilepticus was refractory to all anticonvulsant measures and drugs including, phenytoin, phenobarbital, diazepam and lorazepam. After about 32 hours of unsatisfactory seizure activity control, we started general anesthesia for the management of his status epilepticus. After discontinuing general anesthesia, the patient developed a small number of episodes of epilepsia partialis, but seizure activity was well controlled by conventional anticonvulsants. The patient was extubated after three days and was discharged from hospital as cured 12 days after general anesthesia management. |
| Key Words:
febrile convulsion; general anesthesia; isoflurane; status epilepticus |
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