Super refractory status epilepticus in a patient with insulinoma
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Hypoglycemia is a medical emergency which presents with behavioural abnormality, altered sensorium and seizures. In the developing countries because of poor health infrastructure and delayed treatment, seizures may become refractory to treatment. We report a patient with super refractory status epilepticus (SRSE) due to insulinoma and emphasise the importance of following treatment guidelines of management of status epilepticus (SE).
A 13 years old girl developed generalised tonic–clonic convulsions during sleep. She was treated with IV diazepam, phenytoin and midazolam. Since the seizures did not respond for 30 h, she was referred to our hospital. She was comatose, febrile, dehydrated, with her heart rate was 128/min and blood pressure 80/60 mmHg. She was having generalised tonic–clonic seizure. Her blood sugar was 34 mg/dl which was treated with 25% dextrose. Her seizures stopped within half an hour. She also had seizures 3 and 9 months back for which she was...
We thank Mr. Shakti Kumar for secretarial help.
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Conflict of interest
There is no conflict of interest to declare.
- 1.Shah PA, Malik HA, Bhat HM, Basu JA (2013) Insulinoma masquerading as status epilepticus. Internet J Neurol 16(1)Google Scholar