Korean J Anesthesiol.  2003 Oct;45(4):547-551. 10.4097/kjae.2003.45.4.547.

Clinical Experience of General Anesthesia in a Child with Status Epilepticus Induced by Febrile Convulsion: A case report

• Yoon JR
• Kim TK
• Moon HS
• Kim SH
• Kim JS
• Hwang BH

• KMID: 2299043
• DOI: http://doi.org/10.4097/kjae.2003.45.4.547

Abstract

When continuous seizures are refractory to conventional intravenous anticonvulsant drugs, general anesthesia has been recommended to control status epilepticus. We present the case of a 6-year-old male patient who was admitted for generalized tonic-clonic status epilepticus secondary to febrile convulsion due to an upper respiratory infection. The tonic-clonic status epilepticus was refractory to all anticonvulsant measures and drugs including, phenytoin, phenobarbital, diazepam and lorazepam. After about 32 hours of unsatisfactory seizure activity control, we started general anesthesia for the management of his status epilepticus. After discontinuing general anesthesia, the patient developed a small number of episodes of epilepsia partialis, but seizure activity was well controlled by conventional anticonvulsants. The patient was extubated after three days and was discharged from hospital as cured 12 days after general anesthesia management.

Keyword

febrile convulsion; general anesthesia; isoflurane; status epilepticus

MeSH Terms

Anesthesia, General*
Anticonvulsants
Child*
Diazepam
Humans
Isoflurane
Lorazepam
Male
Phenobarbital
Phenytoin
Seizures
Seizures, Febrile*
Status Epilepticus*
Anticonvulsants
Diazepam
Isoflurane
Lorazepam
Phenobarbital
Phenytoin