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Stereo-Electro-Encephalo-Graphy (SEEG) With Robotic Assistance in the Presurgical Evaluation of Medical Refractory Epilepsy: A Technical Note
Published on: June 13, 2016
Refractory status epilepticus
1The University of Virginia, Charlottesville, Virginia 22908-0394, USA. tblcek@virginia.edu
Purpose Of Review:
Although conventional anticonvulsant agents can terminate status epilepticus in most cases, a substantial minority of patients develops medically refractory status and requires more aggressive care. This review explores the options available.
Recent Findings:
Increasing numbers of previously unexpected etiologies for refractory status epilepticus continue to be reported. There are also some promising new therapies on the horizon, both for the short and the longer terms.
Summary:
Refractory status epilepticus, while a challenge to the intensivist, can be treated with drugs that are commonly used by intensivists. The cooperation of an interested electroencephalographer is vital.
Insights
Refractory status epilepticus (RSE) presents a significant challenge, but effective treatments are available. Intensivists can manage RSE with commonly used drugs, and electroencephalographer collaboration is crucial for optimal patient outcomes.
Area of Science:
- Neurology
- Critical Care Medicine
Background:
- Status epilepticus (SE) is a neurological emergency.
- Conventional anticonvulsants fail in a significant minority of patients, leading to medically refractory status epilepticus (RSE).
- RSE necessitates advanced management strategies.
Purpose of the Study:
- To review the available treatment options for medically refractory status epilepticus.
- To highlight emerging therapies and management approaches for RSE.
Main Methods:
- This is a review article.
- It synthesizes current literature on RSE management.
- It explores novel therapeutic strategies.
Main Results:
- Previously unrecognized causes of RSE are continually being identified.
- New short-term and long-term therapies for RSE show promise.
- RSE management is challenging but feasible with available resources.
Conclusions:
- Refractory status epilepticus is a complex condition requiring specialized care.
- Intensivists can effectively manage RSE using commonly available medications.
- Close collaboration with electroencephalographers is essential for successful RSE treatment.
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