scholarly journals P0729 / #2119: HYPONATREMIC HYPERTENSIVE SYNDROME (HHS) IN AN 8-MONTH-OLD CHILD PRESENTING AS STATUS EPILEPTICUS AND HYPERTENSIVE CRISIS IN PEDIATRIC INTENSIVE CARE UNIT (PICU): A CASE REPORT

2021 ◽  
Vol 22 (Supplement 1 3S) ◽  
pp. 351-351
Author(s):  
F.S. Bouchama ◽  
K. Elhalimi ◽  
R. Taibi ◽  
M.A. Negadi
2021 ◽  
pp. 1-6
Author(s):  
Omnia F El-Rashiedy ◽  
◽  
Hanan M Ibrahim ◽  
Rania H Shatla ◽  
◽  
...  

Objective: Our study aims to estimate the incidence of non-convulsive status epilepticus (NCSE) in comatose children and to evaluate response to acute treatment with anticonvulsants. Material and methods: This is a prospective observational cohort study conducted in Pediatric Intensive Care Unit (PICU) of Ain-Shams University. Eighty patients presented with Glasgow coma scale (GCS) <8 and/or the presence of abnormal movements or vital sign fluctuations were enrolled in the study. All were subjected to EEG monitoring for at least 1 hour within 24 hours of presentation. Patients diagnosed as NCSE received anticonvulsant treatment and were reevaluated clinically and by EEG after 1 week. Results: Twenty four patients were diagnosed as NCSE (30%). EEG was normalized in 50% of patients after treatment. Conclusion: NCSE is possible to be under-recognized in the PICU settings because of the pleomorphic clinical features. Clinical suspension of NCSE and EEG monitoring for critically ill comatose children will improve their outcome


Author(s):  
Divij Pasrija ◽  
Shilpi Gupta ◽  
Amanda Hassinger

AbstractDantrolene is used for reversal of malignant hyperthermia and for improvement in spasticity following stroke which are Food and Drug Administration-approved indications. It is an infrequently used medication in the pediatric intensive care unit and is usually continued from the operating room or sedation suite after suspicion for malignant hyperthermia, secondary to other medications and anesthetic agents. Hepatitis has been described as a side effect of the medication after prolonged use and at doses of more than 100 mg/d mainly in adults. We described in this case report a patient in which the drug was used for sympathetic overactivity in the PICU and development of asymptomatic hepatitis on day 3 after starting the medication at a dose much lower than previously described.


1994 ◽  
Vol 22 (5) ◽  
pp. 827-832 ◽  
Author(s):  
JACQUES LACROIX ◽  
CHERI DEAL ◽  
MARIE GAUTHIER ◽  
ELIZABETH ROUSSEAU ◽  
CATHERINE ANN FARRELL

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