| Sevoflurane for the Management of Refractory Status Epilepticus : A case report. |
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Sun Hee Kim, Myung Hwa Ha, Nam Won Song, Sang Ho Jeong |
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Department of Anesthesiology and Pain Medicine, Maryknoll Hospital, Busan, Korea. h3338@dreamwiz.com |
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| Abstract |
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Refractory status epilepticus is defined as seizure activity that continues after treatment with conventional anticonvulsants. An 8-month-old male had an operation for repair of small bowel perforation, and he suffered a febrile seizure that developed into refractory status epilepticus.
Febrile seizure is the most common etiology for children with status epilepticus. We report here on a case of a patient with refractory status epilepticus, and he was managed with sevoflurane, an inhalational anesthetic. The patient was given an inspired concentration of 0.6-2 vol% sevoflurane for 15 days. After stopping of sevoflurane inhalation, he continued to experience intermittent convulsive status epilepticus that was successfully managed with using conventional anticonvulsants. |
| Key Words:
anticonvulsants; refractory status epilepticus; sevoflurane |
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