A 45-year-old woman on ICU develops status epilepticus. She is treated with IV lorazepam, then IV levetiracetam, and subsequently intubated with IV pr...

Question

A 45-year-old woman on ICU develops status epilepticus. She is treated with IV lorazepam, then IV levetiracetam, and subsequently intubated with IV propofol infusion achieving burst suppression on EEG. After 48 hours of burst suppression, propofol is weaned. Within 6 hours, seizures recur. What is this called?

Accepted Answer

Super-refractory status epilepticus - status epilepticus that persists or recurs despite 24 hours of general anaesthesia

Answer

Simple partial seizures

Answer

Breakthrough seizures - expected during AED titration

Answer

Pseudoseizures

Answer

Post-anoxic myoclonus

uk-fficm MCQ (SBA): Super-Refractory Status Epilepticus