Document Detail


Prolonged refractory status epilepticus related to thrombotic thrombocytopenic purpura.
MedLine Citation:
PMID:  18351471     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Thrombotic thrombocytopenic purpura (TTP) is an extremely rare cause of status epilepticus. Review of literature demonstrated only four cases of brief status epilepticus (SE) associated with TTP. CASE: We describe a young woman with yet incomplete neurological recovery after prolonged refractory status epilepticus. Management required pentobarbital-induced coma for 60 days. Five months after onset, she was conversant and oriented with continued neuromuscular deficits. CONCLUSIONS: This is an unusual presentation of severe refractory SE associated with TTP. With aggressive life support and prolonged pentobarbital infusion, however, survival and the chance of meaningful recovery appear to be possible.
Authors:
Alexander Y Zubkov; Alejandro A Rabinstein; Edward M Manno; Eelco F M Wijdicks
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurocritical care     Volume:  9     ISSN:  1541-6933     ISO Abbreviation:  Neurocrit Care     Publication Date:  2008  
Date Detail:
Created Date:  2008-10-31     Completed Date:  2009-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101156086     Medline TA:  Neurocrit Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  361-5     Citation Subset:  IM    
Affiliation:
Department of Neurology, Division of Critical Care Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Escherichia coli Infections / complications
Female
Food Microbiology
Humans
Prognosis
Purpura, Thrombotic Thrombocytopenic / complications*,  diagnosis,  therapy
Sepsis / complications
Status Epilepticus / diagnosis,  etiology*,  therapy
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Knowledge of Determinants of Mental Health Among Iranian Immigrants of BC, Canada: "A Qualitative St...
Next Document:  Poverty, skin colour and HIV infection: a case-control study from southern Brazil.