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Year : 2021  |  Volume : 69  |  Issue : 5  |  Page : 1374--1379

A Role for Electroconvulsive Therapy in the Management of New Onset Refractory Status Epilepticus (NORSE) in a Young Child

1 Cohen Children's Medical Center, New York; Zucker School of Medicine at Hofstra/Northwell, USA
2 Zucker Hillside Hospital, Northwell Health; Zucker School of Medicine at Hofstra/Northwell, USA

Correspondence Address:
Sanjeev V Kothare
Director, Division of Pediatric Neurology, Professor of Pediatrics & Neurology at Zucker School of Medicine at Hofstra/Northwell, Senior Epileptologist, Co-Director, Pediatric Sleep Program (Neurology); Department of Pediatrics, Cohen Children's Medical Center, 2001, Marcus Avenue, Suite W290, Lake Success, NY 11042
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0028-3886.329559

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New-onset refractory status epilepticus (NORSE) describes prolonged or recurring new onset seizures which fail to respond to antiseizure medications. NORSE poses a challenge in diagnosis and treatment, and limited high-quality evidence exists to guide management. The efficacy of Electroconvulsive therapy (ECT) in aborting refractory status epilepticus has been described in case reports, but its application remains uncommon, particularly in young children. We describe a case of NORSE in a 3-year old child in which ECT played an important role in aborting status epilepticus, facilitating the diagnosis and surgical excision of an underlying focal cortical dysplasia. Although further research is needed, our case suggests that ECT can be a valuable tool in the treatment of refractory status epilepticus in children.


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Online since 20th March '04
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