title: Treatment of Super-Refractory Status Epilepticus.
abstract: Super-refractory status epilepticus (SRSE) is a devastating neurological condition with limited treatment options. We conducted an extensive literature search to identify and summarize the therapeutic options for SRSE. The search mainly resulted in case reports of various pharmacologic and non-pharmacologic treatments. The success rate of each of the following agents, ketamine, inhaled anesthetics, intravenous immunoglobulin G (IVIG), IV steroids, ketogenic diet, hypothermia, electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), and vagal nerve stimulation (VNS), are discussed in greater detail. The choice of appropriate treatment options for a given patient is based on clinical presentation. This review focuses on evidence-based, pharmacotherapeutic strategies for patients in SRSE.
authors: Department of Neurology, Virginia Commonwealth University, P.O. Box 980599, Richmond, VA, 23298, USA, abayrlee@vcu.edu.
authors: Ahmad
authors: A
authors: Bayrlee
authors: Nimalya
authors: N
authors: Ganeshalingam
authors: Lisa
authors: L
authors: Kurczewski
authors: Gretchen M
authors: GM
authors: Brophy
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use*; D055423:Diet, Ketogenic; D004565:Electroconvulsive Therapy; D006801:Humans; D007167:Immunotherapy; D055909:Magnetic Field Therapy; D012008:Recurrence; D013226:Status Epilepticus / Q000276:immunology / Q000628:therapy*
chemical_list: D000927:Anticonvulsants