The therapeutic effect of vagus nerve stimulation on super-refractory nonconvulsive status epilepticus
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초록

Super refractory status epilepticus (SRSE) is a condition in which status epilepticus persists despite 48 hours of anesthetic treatment. Nonconvulsive status epilepticus (NCSE) is characterized by seizures lasting more than 30 min on an electroencephalogram, with accompanying changes in behavior or consciousness without convulsions. Prompt treatment of NCSE is crucial, as delayed treatment may lead to additional brain damage and progression to convulsive status epilepticus. Although vagus nerve stimulation (VNS) has been approved as an adjunct treatment for drug-resistant epilepsy, it is rarely used to treat refractory status epilepticus. To the best of our knowledge, only two cases of NCSE treated with VNS have been reported to date, and these patients were successfully treated with VNS for NCSE caused by anti-NMDAR encephalitis. We report the case of a patient with posttraumatic epilepsy who developed super refractory-NCSE after convulsive status epilepticus and was successfully treated with VNS. © 2024, ASEAN Neurological Association. All rights reserved.

키워드

nonconvulsive status epilepticusStatus epilepticusvagus nerve stimulation
제목
The therapeutic effect of vagus nerve stimulation on super-refractory nonconvulsive status epilepticus
저자
Chung, BoraLee, Chan HyunKim, EunjiKim, MinjunKim, MinjungKwon, Oh-YoungKim, Do-HyungYang, Tae-WonKang, JongsooKim, Young-SooPark, Hyun
DOI
10.54029/2024wpt
발행일
2024-06
유형
Article
저널명
Neurology Asia
29
2
페이지
477 ~ 481