Clinical Reasoning: A 40-Year-Old Man With Refractory Status Epilepticus After Small Bowel Resection for Volvulus.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 40986431.
- Also identified by DOI 10.1212/WNL.0000000000214182.
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Abstract
Evaluating and treating patients with altered mental status in the intensive care unit can be complicated. In this case, a 40-year-old man presented with small bowel volvulus and his course was complicated by super-refractory status epilepticus (SRSE). Repeated attempts to wean ketamine infusion led to recurrence of SE. This case details the approach for evaluation and management of SRSE. Owing to the patient's intolerance to ketamine infusion weaning, we opted for the off-label use of the oral NMDA receptor antagonist memantine, which successfully supported the weaning process from ketamine infusion.
Medical subject headings
- Status Epilepticus
- Intestinal Volvulus
- Intestine, Small
- Clinical Reasoning
- Postoperative Complications