Hyperammonemia Presenting as Refractory Status Epilepticus after Lung Transplant in a Patient Positive for Ureaplasma parvum
نویسندگان
چکیده
منابع مشابه
Pearls & oy-sters: status epilepticus from hyperammonemia after lung transplant.
CASE REPORT A 64-year-old woman with familial pulmonary fibrosis underwent bilateral lung transplantation under general anesthesia with midazolam, propofol, and fentanyl. Her post-transplant immunosuppression regimen consisted of prednisone, azathioprine, and tacrolimus. She was initially alert and following commands but on postoperative day 3 became increasingly somnolent, necessitating reintu...
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Status epilepticus (SE) describes persistent or recurring seizures without a return to baseline mental status and is a common neurologic emergency. SE can occur in the context of epilepsy or may be symptomatic of a wide range of underlying etiologies. The clinician's aim is to rapidly institute care that simultaneously stabilizes the patient medically, identifies and manages any precipitant con...
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Lung cancer-associated paraneoplastic syndromes affecting the central nervous system present significant diagnostic and treatment challenges. In this case, the patient presented with personality change, cognitive impairment, complex partial seizures, ataxia, dyspraxia, and dysphasia. Shortly after admission, the patient suffered refractory generalized tonic-clonic seizures and a decreased level...
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INTRODUCTION Status epilepticus (SE) can be refractory to conventional anticonvulsants, requiring anesthetic doses of medications to suppress seizures. This approach carries significant morbidity, is associated with a high fatality rate, and may not always control SE. Hypothermia has been shown to suppress epileptiform activity experimentally, but has not previously been used as a primary modal...
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Refractory status epilepticus (RSE) is a common problem in intensive care units and emergency departments. The important risk factor predisposing patients with SE to RSE is delay in receiving treatment. Self-sustaining SE is associated with progressive, time-dependent development of pharmacoresistance. Early termination of convulsive SE by aggressive treatment is the best way to prevent RSE. RS...
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ژورنال
عنوان ژورنال: Indian Journal of Critical Care Medicine
سال: 2018
ISSN: 0972-5229,1998-359X
DOI: 10.4103/ijccm.ijccm_356_17