A 15-Year-Old Boy With Refractory Status Epilepticus
Nikita Malani Shukla1, Sarah Risen1
1Department of Pediatric Neurology, Baylor College of Medicine, Houston, TX.
Seminars in Pediatric Neurology
|July 3, 2018
Summary
A previously healthy 15-year-old boy experienced acute encephalopathy and refractory status epilepticus. Prompt diagnosis and treatment of Hashimoto encephalopathy (SREAT) are crucial for seizure control and patient outcomes.
Area of Science:
- Neurology
- Pediatrics
- Immunology
Background:
- Acute encephalopathy in children presents a diagnostic challenge.
- Refractory status epilepticus requires aggressive management strategies.
Observation:
- A 15-year-old previously healthy male presented with acute onset encephalopathy and refractory status epilepticus.
- Seizure control necessitated pentobarbital-induced burst suppression.
Findings:
- Hashimoto encephalopathy (Steroid-Responsive Encephalopathy Associated with Autoimmune Thyroiditis - SREAT) is a potential diagnosis in pediatric acute encephalopathy.
- This case highlights the importance of considering SREAT in the differential diagnosis of pediatric encephalopathy.
Implications:
- Early recognition and appropriate treatment of SREAT can lead to favorable outcomes in pediatric patients.
- Understanding the presentation, diagnosis, and treatment of SREAT is vital for clinicians managing pediatric neurological emergencies.
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