Super-refractory status epilepticus and ischemic stroke: A clinical case report
https://doi.org/10.14412/2074-2711-2017-1S-69-73
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
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
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
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
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
Russian Federation
61/2, Shchepkin St., Moscow 129110
References
1. Trinka E, Cock H, Hesdorffer D, et al. A definition and classification of status epilepticus – Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia. 2015 Oct;56(10):1515-23. doi: 10.1111/epi.13121
2. Bleck TP. Refractory status epilepticus. Curr Opin Crit Care. 2005 Apr;11(2):117-20. doi: 10.1097/01.ccx.0000157079.72999.87
3. Rossetti AO, Bromfield EB. Efficacy of rapid IV administration of valproic acid for status epilepticus. Neurology. 2005 Aug 9;65(3):500-1; author reply 500-1. doi: 10.1212/WNL.65.3.500-a
4. Berg AT, Berkovic SF, Brodie MJ, et al. Revised terminology and concepts for organization of seizures and epilepsies: report of the ILAE Commission on Classification and Terminology, 2005-2009. Epilepsia. 2010 Apr;51(4):676-85. doi: 10.1111/j.1528-1167.2010.02522.x
5. Bauer G, Trinka E. Seizures, syndromes and classifications. Epileptic Disord. 2006 Jun;8(2):162-3.
6. Добрынина ЛА, Калашникова ЛА, Павлова ЛН. Ишемический инсульт в молодом возрасте. Журнал неврологи и психиатрии им. С.С. Корсакова. 2011;111(3):4-8 [Dobrynina LA, Kalashnikova LA, Pavlova LN. Ischemic stroke in young age. Zhurnal Nevrologii i Psikhiatrii im. S.S. Korsakova = SS Korsakov Journal of Neurology and Psychiatry. 2011;111(3):4-8 (In Russ.)].
7. Lee RM, Brown MA, Branch DW, et al. Anticardiolipin and anti-beta2-glycoprotein-I antibodies in preeclampsia. Obstet Gynecol. 2003 Aug;102(2):294-300.
8. Старченко АА. Клиническая нейрореаниматология: Руководство для врачей. Москва: МЕДпресс-информ; 2007. 942 с. [Starchenko AA. Klinicheskaya neiroreanimatologiya: Rukovodstvo dlya vrachei [Clinical neuroreanimatology: A guide for doctors]. Moscow: MEDpress-inform; 2007. 942 p.].
9. Рузикулов ММ, Джинджахидзе РС, Лазарев ВА. Инсультоподобное клиническое течение опухолевых заболеваний головного мозга. Доктор.Ру. 2014;6(94):26-8 [Ruzikulov MM, Dzhindzhakhidze RS, Lazarev VA. Stroke-like clinical course of neoplastic diseases of the brain. Doktor.Ru. 2014;6(94):26-8 (In Russ.)].
10. Ferrier CH, Aronica E, Leijten FS, et al. Electrocorticography discharge patterns in patients with a cavernous hemangioma and pharmacoresistent epilepsy. J Neurosurg. 2007 Sep;107(3):495-503. doi: 10.3171/JNS-07/09/0495
11. Barkovich AJ. Congenital malformations of the brain and skull. In: Barkovich AJ, editor. Pediatric neuroimaging. 4th ed. Philadelphia: Lippincott, Williams & Wilkins; 2005. P. 291-439.
12. Blü mcke I, Thom M, Aronica E, et al. The clinicopathologic spectrum of focal cortical dysplasias: a consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission. Epilepsia. 2011 Jan;52(1):158-74. doi: 10.1111/j.1528-1167.2010.02777.x
13. Krsek P, Maton B, Korman B, et al. Different features of histopathological subtypes of pediatric focal cortical dysplasia. Ann Neurol. 2008 Jun;63(6):758-69. doi: 10.1002/ana.21398
14. Palmini A, Lü ders HO. Classification issues in malformations caused by abnormalities of cortical development. Neurosurg Clin N Am. 2002 Jan;13(1):1-16, vii. doi: 10.1016/S1042-3680(02)80002-X
15. Claassen J, Mayer SA, Kowalski RG, et al. Detection of electrographic seizures with continuous EEG monitoring in critically ill patients. Neurology. 2004 May 25;62(10): 1743-8. doi: 10.1212/01.WNL.0000125184.88797.62
16. Vespa PM, Nuwer MR, Nenov V, et al. Increased incidence and impact of nonconvulsive and convulsive seizures after traumatic brain injury as detected by continuous electroencephalographic monitoring. J Neurosurg. 1999 Nov;91(5):750-60. doi: 10.3171/jns.1999.91.5.0750
Review
For citations:
Kotov AS, Litvinenko MA, Sandu EA, Alakova MA, Sorokina EK. Super-refractory status epilepticus and ischemic stroke: A clinical case report. Nevrologiya, neiropsikhiatriya, psikhosomatika = 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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