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Title: | Case number 7 : status epilepticus |
Authors: | Dimech, Martha Magro, Giulia |
Keywords: | Epilepsy -- Case studies Epilepsy -- Diagnosis Epilepsy in adolescence |
Issue Date: | 2014 |
Publisher: | Malta Medical Students' Association |
Citation: | Dimech, M., & Magro, G. (2014). Case number 7 : status epilepticus. Minima Medicamenta, 3, 45-51. |
Abstract: | 67-year-old gentleman presented to the A&E department with new-onset generalised tonic-clonic seizures lasting about 30 minutes. A nasopharyngeal airway was inserted on arrival, intravenous access obtained and he was given intravenous diazepam to stop the seizures, followed by intravenous phenytoin under cardiac monitoring. Arterial blood gases revealed a type II respiratory failure and he needed intubation and transfer to ITU. He was also given ceftriaxone and acyclovir in A+E in view of his new onset status epilepticus. Once in ITU, no further seizures were recorded and he did not require any inotropic support. Further investigations including routine blood tests, toxicology as well as a lumbar puncture were normal. MRI head done the following day showed a high-intensity signal in the right temporal lobe region suggestive of Herpes Simplex Encephalitis. After a 3 day stay in ITU, he was transferred to the ward and acyclovir continued for a total of 21 days. He remained well and was eventually discharged home. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/46319 |
Appears in Collections: | Minima Medicamenta 2014 Minima Medicamenta 2014 |
Files in This Item:
File | Description | Size | Format | |
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Minima_Medicamenta,_2014_-_A7.pdf | 362.68 kB | Adobe PDF | View/Open |
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