4.6 Article

Refractory Status Epilepticus Treated With Vagal Nerve Stimulation: Case Report

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NEUROSURGERY
卷 69, 期 5, 页码 E1172-E1175

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1227/NEU.0b013e318223b979

关键词

Anesthetic agents; Status epilepticus; Vagal nerve stimulator

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BACKGROUND AND IMPORTANCE: Status epilepticus (SE) refractory to medical treatment has a high mortality rate and few effective treatments. CLINICAL PRESENTATION: We describe the implantation of a vagal nerve stimulator to help terminate a case of refractory SE. A 23-year-old man was in SE for 3 weeks without being able to be weaned from intravenous anesthetic agents. After implantation of a vagal nerve stimulator, SE soon terminated, and the patient could be weaned from sedative agents and made a full recovery. CONCLUSION: Vagal nerve stimulator should be considered in cases of refractory SE.

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