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Emergency surgery for refractory status epilepticus

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Abstract

Background

Management of refractory status epilepticus in children is extremely challenging.

Case characteristics

Two children with medically refractory status epilepticus, both of whom had lesional pathology on MRI and concordant data on EEG and PET scan.

Intervention

Emergency hemispherotomy performed in both patients. A complete, sustained seizure freedom obtained postoperatively.

Message

Emergency surgery is a treatment option in selected cases of drug refractory status epilepticus with lesional pathology and concordant data.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, PD Hinduja Hospital and Research Centre, Mumbai, India

    Spoorthy Jagadish

  2. Department of Pediatric Neurology, PD Hinduja Hospital and Research Centre, Mumbai, India

    Abhijeet Botre, Vrajesh Udani & Neelu Desai

  3. Department of Neurosurgery, PD Hinduja Hospital and Research Centre, Mumbai, India

    Milind Sankhe

  4. PD Hinduja Hospital & MRC, Veer Savarkar Marg, Mahim, Mumbai, 400 016, India

    Neelu Desai

Authors
  1. Abhijeet Botre
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  2. Vrajesh Udani
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  3. Neelu Desai
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  4. Spoorthy Jagadish
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  5. Milind Sankhe
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Corresponding author

Correspondence to Neelu Desai.

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Botre, A., Udani, V., Desai, N. et al. Emergency surgery for refractory status epilepticus. Indian Pediatr 54, 678–680 (2017). https://doi.org/10.1007/s13312-017-1133-z

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  • DOI: https://doi.org/10.1007/s13312-017-1133-z

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