[Refractory status epilepticus presenting as shaken baby syndrome]. Publisher: Estado epileptico refractario como forma de presentacion del. Abstract. HERNANDEZ ORTIZ, Olga Helena et al. Refractory status epilepticus in Instituto Neurológico de Antioquia – intensive care unit a management. El 43,9% desarrolló estado epiléptico convulsivo refractario. Fallecieron 6 pacientes (mortalidad: 14,6%) y en el 8,6 % de los supervivientes se observó un .

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Neurology ; 46 4: In cases of refractory epileptic status in adult and pediatric pa tients, it is used as a third-line drug by some experien ced health centers 23. The latter interferes with the respiratory chain generate a decoupling in the forma tion of ATP 1819producing an imbalance between the supply and the energy demand. El pediatra debe actualizarse para implementar las medidas recomendadas en protocolos internacionales.

Síndrome por Infusión de Propofol en un caso de estatus epiléptico refractario

Lorazepam versus diazepam in the acute treatment of epileptic seizures and status epilepticus. A literature search of articles published between January and Januaryfocused on pediatric population was performed. Se recomienda no usar junto a propofol refracgario esteroides 3, Mitochondrial dysfunction associated with neuronal death following status epilepticus in rat.

Rev Med Chile ; Presentamos los casos de dos lactantes que en el contexto de un sindrome febril comenzaron con un estado epileptico.

Table 1 shows the results of the laboratory tests and their progression in relation to propofol infusion.


Understanding the multiple physiopathological factors involved, estatud is not surprising that the clinical manifestations are variable what makes diagnosis even more difficult. These publications show treatment alternatives such as immunotherapy, ketogenic diet, surgery and hypothermia.


Incidence if Status Epilepticus in Adults in Germany: On the other hand, it is important to mention that due to the national reality, patients with com plex pathologies are often transferred to other services within the same health care center, and then to others of greater complexity, thus, the transfer of information on the use of drugs estqtus doses used should be very rigorous in order to not delay the diagnosis of cases such as PRIS, in which suspicion and early management are key to avoiding outcomes that could be fatal.

Due to the wide range of manifestations of the syn drome, it becomes very important to consider it within the differential diagnoses of patients with metabolic acidosis, since early diagnosis and intervention can prevent a fatal outcome. Of the many acute precipitants described in children, infection and fever collectively constitute the most common Guidelines for prevention, detection and management of. Rights to privacy and informed consent: Which anticonvulsant for women with ecplampsia?

The therapeutic scheme of SE should be considered since the start of any seizure. Control of RSE demands the use of multiple anticonvulsant drugs AEDhigh-dose sedatives, and sometimes vasopressive or mechanical ventilatory support.

The choice estafus propofol or other anesthetics in these situations is not without controversy since the evidence is based primarily on case reports and small series, the therapeutic decision is usually made based on the experience of the medical team in charge Propofol and midazolam in the treatment of Refractory Status Epilepticus.

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Flujograma para el tratamiento del EE-SR. Cada grupo se divide en focal y generalizado. En muchos centros se utiliza de rutina en EE-SR por su efecto neuroprotector, tiene alta tasa de complicaciones: Metabolic acidosis and fatal myocardial failure after propofol infusion in children: An year clinical experience.


Epilepsy Behav ; 14 2: Estado epileptico refractario como epilepticco de presentacion del sindrome del bebe zarandeado. Propofol infusion syndrome in children. Chin R, Neville B.

In adolescent baboons, brain damage can be observed after 90 minutes of sustained seizures, with the neocortex, thalamus, and hippocampus most affected. J Neuroimaging ;23 1: Curr Opin Pediatr ; Arch Biochem Biophys ; Tratamiento de las Epilepsias.

On October 17, a simple brain CT scan was per formed, which showed no evidence of cerebral edema or ischemic lesions and no new brain lesions. Evidence from the Collaborative Epileptick Trial, Lancet, ; Use of intravenous valproate in three pediatric patients with nonconvulsive or convulsive status epilepticus.

Los procesos intercurrentes, como los colicos del lactante o los sindromes febriles que favorecen el llanto, suelen ser factores precipitantes del zarandeo. Table 2 shows the clinical correlation of each phy- siopathological event.

Lancet Neurol ; 7 8: A review was made of existing clinical guidelines, guidance to schools, and relevant pediztria and legal frameworks, as well as a survey of 20 healthcare professionals who treat esattus with prolonged convulsive seizures in Spain.

Refractory SE is the condition that extends beyond minutes and requires anesthetic management. If a propofol in fusion is added to this, triglyceride accumulation will begin quickly There are currently no unified criteria for the diag nosis of this syndrome, which is based on the combination of metabolic acidosis, rhabdomyolysis, hyperkalemia, hepatomegaly, renal failure, hyperlipidemia, arr hythmias, and rapidly progressive heart failure 4.