Status Epilepticus Development after Organophosphate Intoxication/Midazolam Case Report

AbstractEarly infantile epileptic encephalopathy-64 (EIEE 64), also called RHOBTB2-related developmental and epileptic encephalopathy (DEE), is caused by heterozygous pathogenic variants (EIEE 64; MIM#618004) in the Rho-related BTB domain-containing protein 2 (RHOBTB2) gene. To date, only 13 cases with RHOBTB2-related DEE have been reported. We add to the literature the 14th case of EIEE 64, identified by whole exome sequencing, caused by a heterozygous pathogenic variant in RHOBTB2 (c.1531C > T), p.Arg511Trp. This additional case supports the main features of RHOBTB2-related DEE: infantile-onset seizures, severe intellectual disability, impaired motor functions, postnatal microcephaly, recurrent status epilepticus, and hemiparesis after seizures.

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Norovirus Causes Pediatric Encephalopathy and Status Epilepticus: A Case Report and Review of the Literature

Journal of Pediatric Epilepsy ◽

10.1055/s-0041-1725990 ◽

2021 ◽

Author(s):

Gabriela Tantillo ◽

Navyamani Kagita ◽

Maite LaVega-Talbott ◽

Anuradha Singh ◽

David Kaufman

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Status Epilepticus ◽

Magnetic Resonance ◽

Review Of The Literature ◽

Resonance Imaging ◽

Common Cause ◽

Diffusion Restriction ◽

Neurologic Impairment ◽

Norovirus Gastroenteritis

AbstractNorovirus is a common cause of acute gastroenteritis outbreaks worldwide. The disease can present with varying degrees of neurologic impairment from benign convulsions to rare cases of severe encephalopathy. We describe a case report of a North American infant who presented with norovirus gastroenteritis, status epilepticus, severe encephalopathy, and abnormal but reversible diffusion restriction changes on magnetic resonance imaging of brain.

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Catatonia, beyond a psychiatric syndrome

Dementia & Neuropsychologia ◽

10.1590/1980-57642016dn11-020015 ◽

2017 ◽

Vol 11 (2) ◽

pp. 209-212

Author(s):

Nathália Stela Visoná de Figueiredo ◽

Débora Bartzen Moraes Angst ◽

Antônio de Matos Lima Neto ◽

Michel Ferreira Machado ◽

Maria Sheila Guimarães Rocha ◽

...

Keyword(s):

Case Report ◽

Status Epilepticus ◽

Clinical Manifestation ◽

Sinus Thrombosis ◽

Cerebral Venous Sinus Thrombosis ◽

Venous Sinus ◽

Nonconvulsive Status Epilepticus ◽

Diagnostic Investigation ◽

Venous Sinus Thrombosis ◽

Psychiatric Syndrome

ABSTRACT Although catatonia is a well-known psychiatric syndrome, there are many possible systemic and neurological etiologies. The aim of this case report was to present a case of a patient with cerebral venous sinus thrombosis and infarction in which catatonia was the clinical manifestation of a possible nonconvulsive status epilepticus. To our knowledge, only one such case has been reported in the literature, which had a simplified diagnostic investigation. It is important to correctly recognize the organic cause underlying catatonia in order to treat the patient as soon as possible thereby improving outcome. Therefore, physicians need to update their knowledge on catatonia, recognizing that it can be part of a psychiatric or neurologic condition.

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P394: EEG pattern related with the administration of ketamine in the treatment of refractory status epilepticus mimicking extreme delta brush: a case report

Clinical Neurophysiology ◽

10.1016/s1388-2457(14)50503-2 ◽

2014 ◽

Vol 125 ◽

pp. S154-S155

Author(s):

C. Lazo La Torre ◽

M. Vicente Rasoamalala ◽

E. Lainez Samper ◽

R. Rossich Verdes ◽

M. Veciana de las Heras ◽

...

Keyword(s):

Case Report ◽

Status Epilepticus ◽

Refractory Status Epilepticus ◽

Refractory Status ◽

Eeg Pattern

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Midazolam for treatment of refractory neonatal seizures: a case report

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x1994000200019 ◽

1994 ◽

Vol 52 (2) ◽

pp. 260-262 ◽

Cited By ~ 7

Author(s):

José Luiz Dias Gherpelli ◽

Francisco José C. Luccas ◽

Israel Roitman ◽

Eduardo Juan Troster

Keyword(s):

Case Report ◽

Status Epilepticus ◽

Continuous Infusion ◽

Seizure Control ◽

Neonatal Period ◽

Hyaline Membrane Disease ◽

Water Soluble ◽

Neonatal Seizures ◽

Hyaline Membrane ◽

Ischemic Encephalopathy

Midazolam is a short-acting water soluble benzodiazepine that has been used with an increasing frequency in the last years. Although there are reports on its use in status epilepticus, there is none in the neonatal period. A pre-term (35 w) AGA newborn infant with a severe hypoxic-ischemic encephalopathy secondary to grade ED hyaline membrane disease developed status epilepticus in the first 6 hours of life and was successfully treated with midazolam after phenobarbital and phenytoin failed to achieve seizure control. Dosage schedule was 0.2 mg/kg IV, followed by continuous infusion of 0.025 mg/kg/h. Midazolam is an effective drug for neonatal status epilepticus and more experience should accumulate before it can be routinely employed in the neonatal period. This case shows that it is a possible option before using more dangerous drugs, such as thionembutal.

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