Emergent responsive neurostimulation in pediatric super‐refractory epilepsia partialis continua

Focal status epilepticus, particularly the motor variant of epilepsia partialis continua (EPC), is a rare condition characterized by near‐continuous, chronic focal motor seizures, and associated with poor outcomes. Medications, including anesthetics, are often unsuccessful. Surgical resection can re...

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Veröffentlicht in:Annals of clinical and translational neurology 2024-11, Vol.11 (12), p.3320-3327
Hauptverfasser: Hadar, Peter N., Nanda, Pranav, Walsh, Katherine G., McLaren, John, Geffrey, Alexandra, Simon, Mirela, Kahle, Kristopher, Richardson, R. Mark, Chu, Catherine J.
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Sprache:eng
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Zusammenfassung:Focal status epilepticus, particularly the motor variant of epilepsia partialis continua (EPC), is a rare condition characterized by near‐continuous, chronic focal motor seizures, and associated with poor outcomes. Medications, including anesthetics, are often unsuccessful. Surgical resection can result in motor deficits. We report a medically complex pediatric case of super‐refractory EPC that was successfully managed with combined focal resection and responsive neuromodulation. This case introduces neuromodulation as a treatment modality for this challenging condition.
ISSN:2328-9503
2328-9503
DOI:10.1002/acn3.52199