A Clinical Analysis of Two Cases of Refractory Status Epilepticus of Generalized Convulsive Seizures
https://doi.org/10.14412/2074-2711-2014-1S-25-30
Abstract
A clinical analysis of two cases of refractory status epilepticus of generalized convulsive seizures is presented. The reasons behind the ineffec- tiveness of the pre-hospital emergency services are discussed. The features of clinical care of female patients according to the modern treat- ment standards and the possibilities for using intravenous forms of antiepileptic drugs in combination with general anesthetic drugs are ana- lyzed. The tactics of further treatment are discussed.
About the Authors
V. A. Karlov
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
I. A. Zhidkova
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
P. N. Vlasov
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
B. P. Gladov
A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
Russian Federation
Department of Nervous System Diseases, Faculty of Therapeutics
O. A. Podgornaya
Сity Сlinical Hospital Six, Moscow
Russian Federation
Russian Federation
S. V. Ukhanova
Сity Сlinical Hospital Six, Moscow
Russian Federation
Russian Federation
References
1. Карлов ВА. Судорожный и бессудорожный эпилептический статус. Москва: МГМСУ; 2007. 81 c. [Кarlov VA. Sudorozhnyi i bessu- dorozhnyi epilepticheskii status. Moscow: MGMSU; 2007. 81 p.]
2. Brophy GM, Bell R, Claassen J, et al. Guidelines for the evaluation and management of status epilep- ticus. Neurocrit Care. 2012 Aug;17(1):3–23. DOI: 10.1007/s12028-012-9695-z.
3. Гусев ЕИ, Гехт АБ, редакторы. Эпилепсия: фундаментальные, клинические и социальные аспекты. Москва: АПКИППРО; 2013. [Gusev EI, Gekht AB, editors. Epilepsiya: fundamental'nye, klinicheskie i sotsial'nye aspekty. Mosсow: APKIPPRO; 2013.]
4. DeLorenzo RJ, Hauser WA, Towne AR, et al. A prospective, population-based epidemiologic study of status epilepticus in Richmond, Virginia. Neurology. 1996;46(4):1029–35.
5. Rosenow F, Hamer HM, Knake S. The epidemiology of convulsive and nonconvulsive status epilepticus. Epilepsia. 2007;48 Suppl 8:82–4.
6. Shorvon S. Definition, classification and fre- quency of status epilepticus. In: Shorvon S, editor. Epilepticus: its clinical features and treatment in children and adults. Cambridge: Cambridge University Press; 1994. P. 21–33.
7. Walker M. Status epilepticus: an evidence based guide. Br Med J (Clin Res Ed). 2005;331(7518):673–7.
8. Карлов ВА. Эпилепсия у детей и взрослых женщин и мужчин. Москва: Медицина; 2010. [Karlov VA. Epilepsiya u detei i vzroslykh zhen- shchin i muzhchin. Moscow: Meditsina; 2010.]
9. Власов ПН, Камелькова ЕГ, Дрожжина ГР. Эффективность и переносимость лакосамида для внутривенного введения при ургентных неврологических ситуациях. Неврология, ней- ропсихиатрия, психосоматика. 2012;(1S):60–3. [Vlasov PN, Kamelkova EG, Drozzhina GR. Efficacy and tolerance of intravenous lacosamide in urgent neurological situations. Neurology, Neuropsychiatry, Psychosomatics. 2012;(1S):60–3.]. DOI: http://dx.doi.org/10.14412/2074-2711-2012-2501.
10. Лебедева АМ, Карлов ВА, Сидоров АМ и др. Опыт применения инъекционной формы вальпроевой кислоты (конвулекс) у больных с серийными эпилептическими приступами и эпилептическим статусом на догоспитальном этапе. Неврология, нейропсихиатрия, психосо- матика. 2012;(1S):53–9. [Lebedeva AV, Karlov VA, Sidorov AM, et al. Experience in using injectable valproic acid (convulex) in patients with serial epileptic seizures and status epilepticus at the prehospital stage. Neurology, Neuropsychiatry, Psychosomatics. 2012;(1S):53–9.]. DOI: http://dx.doi.org/10.14412/2074-2711-2012-2500.
Review
For citations:
Karlov V.A., Zhidkova I.A., Vlasov P.N., Gladov B.P., Podgornaya O.A., Ukhanova S.V. A Clinical Analysis of Two Cases of Refractory Status Epilepticus of Generalized Convulsive Seizures. Neurology, Neuropsychiatry, Psychosomatics. 2014;6(1S):25-30. (In Russ.) https://doi.org/10.14412/2074-2711-2014-1S-25-30
Views: 765
Email this article 