Surgical treatment of focal symptomatic refractory status epilepticus with and without invasive EEG

PURPOSE: Neurosurgery appears to be a reasonable alternative in carefully selected patients with refractory status epilepticus (RSE) and super-refractory status epilepticus (SRSE). We discuss the optimal timing of the surgery and the use of previous stereoelectroencephalography (SEEG) invasive evalu...

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Detalles Bibliográficos
Autores principales: Cuello-Oderiz, Carolina, Aberastury, Marina, Besocke, Ana Gabriela, Sinner, Jorge, Comas-Guerrero, Betiana, Ciraolo, Carlos Alberto, Pasteris, Maria Concepción, Silva, Walter Horacio, García, María del Carmen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4588404/
https://www.ncbi.nlm.nih.gov/pubmed/26543817
http://dx.doi.org/10.1016/j.ebcr.2015.08.005
Descripción
Sumario:PURPOSE: Neurosurgery appears to be a reasonable alternative in carefully selected patients with refractory status epilepticus (RSE) and super-refractory status epilepticus (SRSE). We discuss the optimal timing of the surgery and the use of previous stereoelectroencephalography (SEEG) invasive evaluation. METHODS: We identified 3 patients (two pediatric and one adult) who underwent epilepsy surgery because of RSE or SRSE from our epilepsy surgery database, one of them with previous SEEG. RESULTS: Status epilepticus resolved acutely in all of them with no mortality and no substantial morbidity. At follow-up (median: 2 years), 1 patient was seizure-free, and 2 had significant improvement. CONCLUSION: Surgery should be considered in all cases of RSE and SRSE early in the course of the evolution of the disease.

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