Generalized convulsive status epilepticus after retrograde type A aortic dissection surgery. (April 2021)

• Record Type: Journal Article
• Authors: Li, Yuan; Wu, Qingchen; Shi, Haoming; Chen, Dan; Zhang, Cheng
• Is Part Of: Perfusion. Volume 36:Number 3(2021)
• Page Start: 318
• Page End: 321
• Publication Date: 2021-04
• Subjects: postoperative management -- status epilepticus -- aortic dissection -- interventional therapy -- prosthetic vessel replacement; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659120943158
• Languages: English
• ISSNs: 0267-6591

Abstract

Introduction: Generalized convulsive status epilepticus is defined as a generalized and convulsive seizure with 5 minutes or more of continuous clinical and/or electrographic seizure activity or recurrent seizure activity without recovery between seizures. For the first time, we present a case with retrograde type A aortic dissection after endovascular repairment and received thoracotomy intensely. Case report: The patient experienced frequent generalized seizures in the immediate postoperative period, and status epilepticus was considered for his medical history, clinic symptoms and related examinations. Discussion and Conclusion: Generalized convulsive status epilepticus should be alert for avoiding delay in the rehabilitation particularly after aortic dissection surgery. Under the good condition of ventilation, combining morphine with midazolam or diazepam can more effectively relieve the symptoms.