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Review
. 2015 Oct;15(10):66.
doi: 10.1007/s11910-015-0589-2.

Treatment of Super-Refractory Status Epilepticus

Ahmad Bayrlee  1 , Nimalya Ganeshalingam, Lisa Kurczewski, Gretchen M Brophy
Affiliations
Review

Treatment of Super-Refractory Status Epilepticus

Ahmad Bayrlee et al. Curr Neurol Neurosci Rep. 2015 Oct.

Abstract

Super-refractory status epilepticus (SRSE) is a devastating neurological condition with limited treatment options. We conducted an extensive literature search to identify and summarize the therapeutic options for SRSE. The search mainly resulted in case reports of various pharmacologic and non-pharmacologic treatments. The success rate of each of the following agents, ketamine, inhaled anesthetics, intravenous immunoglobulin G (IVIG), IV steroids, ketogenic diet, hypothermia, electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), and vagal nerve stimulation (VNS), are discussed in greater detail. The choice of appropriate treatment options for a given patient is based on clinical presentation. This review focuses on evidence-based, pharmacotherapeutic strategies for patients in SRSE.

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