Sevoflurane을 이용한 불응성 간질지속상태의 조절

• Published in: Korean journal of anesthesiology Vol. 52; no. 4; pp. 475 - 478
• Main Authors: 김선희, Sun Hee Kim, 하명화, Myung Hwa Ha, 송남원, Nam Won Song, 정상호, Sang Ho Jeong
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 30.04.2007
• Subjects: anticonvulsants; refractory status epilepticus; sevoflurane; 마취과학
• ISSN: 2005-6419; 2005-7563

Refractory status epilepticus is defined as seizure activity that continues after treatment with conventional anticonvulsants. An 8-month-old male had an operation for repair of small bowel perforation, and he suffered a febrile seizure that developed into refractory status epilepticus. Febrile seizure is the most common etiology for children with status epilepticus. We report here on a case of a patient with refractory status epilepticus, and he was managed with sevoflurane, an inhalational anesthetic. The patient was given an inspired concentration of 0.6－2 vol% sevoflurane for 15 days. After stopping of sevoflurane inhalation, he continued to experience intermittent convulsive status epilepticus that was successfully managed with using conventional anticonvulsants. (Korean J Anesthesiol 2007; 52: 475~8)