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World Neurosurg. 2019 Jan 22. pii: S1878-8750(19)30122-6. doi: 10.1016/j.wneu.2019.01.027. [Epub ahead of print]

Neurosurgical therapy for Status Epilepticus in Oligoastrocytoma Patient: A case report.

Author information

1
Clinical Research Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico. Electronic address: pegaso31@yahoo.com.
2
Clinical Research Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
3
Faculty of Medicine, Autonomous University of State of Mexico, State of Mexico, Mexico.
4
Neurosurgery Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
5
Pathology Department, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
6
Comprehensive Epilepsy Center of Long Island, St. Charles Hospital, Port Jefferson, NY, USA.
7
Neuro-intensive care Unit. National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
8
Epilepsy Clinic, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.

Abstract

BACKGROUND:

Super refractory epilepticus status (SRSE) is a life-threatening neurologic emergency defined as 'status epilepticus (SE) that continues 24 hours or more after the onset of anaesthesia, including those cases in which the SE recurs on the reduction or withdrawal of anaesthesia', which occur in 10-15% of SE patients and rarely has been resolved surgically.

METHODS:

A 20-year-old man with SRSE and a long history of left parieto-occipital oligoastrocytoma was admitted for convulsive SE that become SRSE and underwent lesionectomy guided by electrocorticography and neuro-navigation for local tumor recurrence. Histopathological diagnosis was oligoastrocytoma.

RESULTS:

SRSE was aborted and the patient recovery fully without any functional deficits.

CONCLUSIONS:

The lesionectomy guided by electrocorticography and neuro- navigation should be considered as a treatment option for patients with SRSE.

KEYWORDS:

EcoG; Status epilepticus; brain neoplasms; epilepsy; oligoastrocytoma

PMID:
30682510
DOI:
10.1016/j.wneu.2019.01.027

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