Refractory status epilepticus responding to lidocaine: a case report

Year 2018, Volume: 4 Issue: 3, 254 - 257, 04.07.2018

Gökhan Özer

https://doi.org/10.18621/eurj.361883

Abstract

Status epilepticus is a life-threatening condition, which is associated
with a high mortality and morbidity when left untreated. It is
defined as a continuous seizure lasting more than 30 min or successive seizures
with no recovery between any of them. Mortality of status epilepticus
depends on the duration and type of seizure, concomitant diseases and age of
the patient. Managament of status epilepticus includes ensuring adequate
airway, stabilization of circulation and use of antiepileptic drugs.
Benzodiazepines, phenobarbital, phenytoin, fosphenytoin, general anesthesia and
lidocaine are used for the treatment of status epilepticus. Here, we discuss a
patient with refractory status epilepticus who achieved a very good response
and full recovery only with lidocain infusion among all forms of therapy given. 

Keywords

status epilepticus, lidocaine, antiepileptic drugs

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