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Evolution of Cerebral Atrophy in a Patient with Super Refractory Status Epilepticus Treated with Barbiturate Coma
المؤلفون المشاركون
Newey, C. R.
Sarwal, A.
Hantus, S.
George, P.
Nattanmai, Premkumar
Ahrens, Christine
المصدر
Case Reports in Neurological Medicine
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-01-15
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Introduction.
Status epilepticus is associated with neuronal breakdown.
Radiological sequelae of status epilepticus include diffusion weighted abnormalities and T2/FLAIR cortical hyperintensities corresponding to the epileptogenic cortex.
However, progressive generalized cerebral atrophy from status epilepticus is underrecognized and may be related to neuronal death.
We present here a case of diffuse cerebral atrophy that developed during the course of super refractory status epilepticus management despite prolonged barbiturate coma.
Methods.
Case report and review of the literature.
Case.
A 19-year-old male with a prior history of epilepsy presented with focal clonic seizures.
His seizures were refractory to multiple anticonvulsants and eventually required pentobarbital coma for 62 days and midazolam coma for 33 days.
Serial brain magnetic resonance imaging (MRI) showed development of cerebral atrophy at 31 days after admission to our facility and progression of the atrophy at 136 days after admission.
Conclusion.
This case highlights the development and progression of generalized cerebral atrophy in super refractory status epilepticus.
The cerebral atrophy was noticeable at 31 days after admission at our facility which emphasizes the urgency of definitive treatment in patients who present with super refractory status epilepticus.
Further research into direct effects of therapeutic coma is warranted.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Newey, C. R.& George, P.& Nattanmai, Premkumar& Ahrens, Christine& Hantus, S.& Sarwal, A.. 2017. Evolution of Cerebral Atrophy in a Patient with Super Refractory Status Epilepticus Treated with Barbiturate Coma. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147222
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Newey, C. R.…[et al.]. Evolution of Cerebral Atrophy in a Patient with Super Refractory Status Epilepticus Treated with Barbiturate Coma. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147222
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Newey, C. R.& George, P.& Nattanmai, Premkumar& Ahrens, Christine& Hantus, S.& Sarwal, A.. Evolution of Cerebral Atrophy in a Patient with Super Refractory Status Epilepticus Treated with Barbiturate Coma. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147222
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147222
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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