Myoclonic status epilepticus in a pediatric patient: case report

Case presentation: Female patient, 14 years old, healthy, with a history of ingestion an unknown amount rodenticide. A few hours after, she presented vomiting, diarrhea, bradycardia, myotic pupils and generalized tonic-clonic seizures, evolving two cardiorespiratory arrests. It was performed the first cardiopulmonary resuscitation maneuvers, including sedation intubation; atropinization vasoactive drugs administrated at intensive care unit. During hospitalization, developed myoclonus. Electroencephalogram showed myoclonic status epilepticus, which reversed use high doses thiopental, having no response to other anticonvulsants. She progressed absence some brainstem reflexes, but did not complete brain death diagnosis, maintaining cerebral blood flow on Doppler; magnetic resonance revealed severe hypoxic-ischemic encephalopathy. After prolonged required gastrostomy tracheostomy for dehospitalization. Currently, bedridden important neurological sequelae, patient maintains outpatient follow-up.