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Korean Journal of Anesthesiology 2007;52(4):475-478.
DOI: https://doi.org/10.4097/kjae.2007.52.4.475   
Sevoflurane for the Management of Refractory Status Epilepticus : A case report.
Sun Hee Kim, Myung Hwa Ha, Nam Won Song, Sang Ho Jeong
Department of Anesthesiology and Pain Medicine, Maryknoll Hospital, Busan, Korea. h3338@dreamwiz.com
Refractory status epilepticus is defined as seizure activity that continues after treatment with conventional anticonvulsants. An 8-month-old male had an operation for repair of small bowel perforation, and he suffered a febrile seizure that developed into refractory status epilepticus. Febrile seizure is the most common etiology for children with status epilepticus. We report here on a case of a patient with refractory status epilepticus, and he was managed with sevoflurane, an inhalational anesthetic. The patient was given an inspired concentration of 0.6-2 vol% sevoflurane for 15 days. After stopping of sevoflurane inhalation, he continued to experience intermittent convulsive status epilepticus that was successfully managed with using conventional anticonvulsants.
Key Words: anticonvulsants; refractory status epilepticus; sevoflurane


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