2026-06-29T21:03:12Zhttps://riubu.ubu.es/oai/requestoai:riubu.ubu.es:10259/85532024-02-02T01:05:20Zcom_10259_7328com_10259_3989com_10259.4_106com_10259_2604col_10259_7329
Repositorio Institucional de la Universidad de Burgos
author
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
2024-02-01T17:04:58Z
2024-02-01T17:04:58Z
2020
1661-7827
http://hdl.handle.net/10259/8553
10.3390/ijerph17114023
1660-4601
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.
eng
Atribución 4.0 Internacional
Electroconvulsive therapy
ECT
Super refractory status epilepticus
Antiepileptic treatment
Electroconvulsive Therapy in Super Refractory Status Epilepticus: Case Series with a Defined Protocol
info:eu-repo/semantics/article
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URL
https://riubu.ubu.es/bitstream/10259/8553/1/Garc%c3%ada-ijerph_2020.pdf
File
MD5
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application/pdf
García-ijerph_2020.pdf