2026-06-30T02:20:41Zhttps://riubu.ubu.es/oai/request

oai:riubu.ubu.es:10259/85532024-02-02T01:05:20Zcom_10259_7328com_10259_3989com_10259.4_106com_10259_2604col_10259_7329

00925njm 22002777a 4500 dc García López, Beatriz author Gómez Menéndez, Ana Isabel author Vázquez Sánchez, Fernando author Pérez Cabo, Eva author Isidro Mesas, Francisco author Zabalegui Pérez, Arturo author Muñoz-Siscart, Ignacio author Lloria Gil, María Carmen author Soto Cámara, Raúl author González Bernal, Jerónimo author González Santos, Josefa author Aguilar-Parra, José M. author Trigueros Ramos, Rubén author López Liria, Remedios author Kjær, Troels Wesenberg author 2020 Super-refractory status epilepticus (SRSE) represents a neurological emergency that is characterized by a lack of response to the third line of antiepileptic treatment, including intravenous general anesthetics. It is a medical challenge with high morbidity and mortality. Electroconvulsive therapy (ECT) has been recommended as a nonpharmacologic option of treatment after other alternatives are unsuccessful. Its effect on the cessation of SRSE has been minimally investigated. The objective of this article is to analyze the effect of ECT on SRSE. For this purpose, a multidisciplinary team created a protocol based on clinical guidelines similar to those described previously by Ray et al. (2017). ECT was applied to six patients with SRSE after the failure of antiepileptic treatment and pharmacologic coma.The objective of each ECT session was to elicit a motor seizure for at least 20 s. SRSE was resolved in all patients after several days of treatment, including ECT as a therapy, without relevant adverse effects. Thus, ECT is an effective and feasible option in the treatment of SRSE, and its place in the algorithm in treatment should be studied due to the uncommon adverse effects and the noninvasive character of the therapy. 1661-7827 http://hdl.handle.net/10259/8553 10.3390/ijerph17114023 1660-4601 Electroconvulsive therapy ECT Super refractory status epilepticus Antiepileptic treatment Electroconvulsive Therapy in Super Refractory Status Epilepticus: Case Series with a Defined Protocol