Super-refractory status epilepticus and ischemic stroke: A clinical case report

Abstract

Generalized convulsive status epilepticus (GCSE) is the most dangerous type of status epilepticus. The paper describes a clinical case of a 33-year-old female patient admitted to an intensive care unit for diagnosed ischemic stroke in the posterior cerebral artery bed and GCSE. EEG showed diffuse discharges of epileptiform activity against a flattened background (an EEG correlate of the terminal phase of status epilepticus). Intensive treatment was performed; the outcome of the disease was fatal. The article discusses the possible causes of status epilepticus and its treatment policy in the patient.

Keywords

• generalized convulsive status epilepticus
• ischemic stroke
• epilepsy