RT info:eu-repo/semantics/article
T1 Electroconvulsive Therapy in Super Refractory Status Epilepticus: Case Series with a Defined Protocol
A1 García López, Beatriz
A1 Gómez Menéndez, Ana Isabel
A1 Vázquez Sánchez, Fernando
A1 Pérez Cabo, Eva
A1 Isidro Mesas, Francisco
A1 Zabalegui Pérez, Arturo
A1 Muñoz-Siscart, Ignacio
A1 Lloria Gil, María Carmen
A1 Soto Cámara, Raúl
A1 González Bernal, Jerónimo
A1 González Santos, Josefa
A1 Aguilar-Parra, José M.
A1 Trigueros Ramos, Rubén
A1 López Liria, Remedios
A1 Kjær, Troels Wesenberg
K1 Electroconvulsive therapy
K1 ECT
K1 Super refractory status epilepticus
K1 Antiepileptic treatment
K1 Neurología
K1 Neurology
K1 Psicología
K1 Psychology
K1 Fisiología
K1 Physiology
K1 Salud
K1 Health
AB 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.
PB MDPI
SN 1661-7827
YR 2020
FD 2020
LK http://hdl.handle.net/10259/8553
UL http://hdl.handle.net/10259/8553
LA eng
DS Repositorio Institucional de la Universidad de Burgos
RD 23-nov-2024