使用异氟烷和低温治疗超难治性癫痫持续状态
Management of super-refractory status epilepticus with isoflurane and hypothermia.
作者信息
Zhumadilov Agzam, Gilman Charles P, Viderman Dmitriy
机构信息
Republican Research Center for Emergency Care , Astana , Kazakhstan.
School of Science and Technology, Nazarbayev University , Astana , Kazakhstan.
出版信息
Front Neurol. 2015 Jan 28;5:286. doi: 10.3389/fneur.2014.00286. eCollection 2014.
Abstract
Super-refractory status epilepticus (SRSE) is defined as status epilepticus that continues 24 h or more after the onset of anesthesia, and includes those cases in which epilepsy is recurrent upon treatment reduction. We describe the presentation and successful management of a male patient with SRSE using the inhaled anesthetic isoflurane, and mild hypothermia (HT). The potential utility of combined HT and volatile anesthesia is discussed.
摘要
超难治性癫痫持续状态（SRSE）被定义为在麻醉开始后持续24小时或更长时间的癫痫持续状态，包括那些在减药治疗时癫痫复发的病例。我们描述了一名使用吸入麻醉药异氟烷和轻度低温（HT）治疗的SRSE男性患者的临床表现及成功治疗过程。并讨论了联合HT和挥发性麻醉的潜在效用。
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