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Super-refractory status epilepticus and ischemic stroke: A clinical case report

https://doi.org/10.14412/2074-2711-2017-1S-69-73

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Abstract

Generalized convulsive status epilepticus (GCSE) is the most dangerous type of status epilepticus. The paper describes a clinical case of a 33-year-old female patient admitted to an intensive care unit for diagnosed ischemic stroke in the posterior cerebral artery bed and GCSE. EEG showed diffuse discharges of epileptiform activity against a flattened background (an EEG correlate of the terminal phase of status epilepticus). Intensive treatment was performed; the outcome of the disease was fatal. The article discusses the possible causes of status epilepticus and its treatment policy in the patient.

About the Authors

A. S. Kotov
M.F. Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
61/2, Shchepkin St., Moscow 129110


M. A. Litvinenko
M.F. Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
61/2, Shchepkin St., Moscow 129110


E. A. Sandu
M.F. Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
61/2, Shchepkin St., Moscow 129110


M. A. Alakova
M.F. Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
61/2, Shchepkin St., Moscow 129110


E. K. Sorokina
M.F. Vladimirsky Moscow Regional Research Clinical Institute
Russian Federation
61/2, Shchepkin St., Moscow 129110


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For citation:


Kotov A.S., Litvinenko M.A., Sandu E.A., Alakova M.A., Sorokina E.K. Super-refractory status epilepticus and ischemic stroke: A clinical case report. Neurology, Neuropsychiatry, Psychosomatics. 2017;9(1S):69-73. (In Russ.) https://doi.org/10.14412/2074-2711-2017-1S-69-73

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)