Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case

Systemic lupus erythematosus (SLE) is an autoimmune disease with extensive organ involvement. Neuropsychiatric-SLE (NP-SLE) includes the involvement of the central nervous system, and has an epileptic seizure rate of 6.7% to 14.4%. The prognosis of epilepsy in NP-SLE patients is fairly good, usually...

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Main Authors: Mehmet Fatih GÖL, Mehmet Fatih YETKİN, Elif Gülşen KÖSE, Füsun Ferda ERDOĞAN
Format: Article
Language:English
Published: Galenos Yayinevi 2019-04-01
Series:Archives of Epilepsy
Subjects:
Online Access: http://archepilepsy.org/archives/archive-detail/article-preview/super-refractory-status-epilepticus-in-neuropsychi/54860
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author Mehmet Fatih GÖL
Mehmet Fatih YETKİN
Elif Gülşen KÖSE
Füsun Ferda ERDOĞAN
author_facet Mehmet Fatih GÖL
Mehmet Fatih YETKİN
Elif Gülşen KÖSE
Füsun Ferda ERDOĞAN
author_sort Mehmet Fatih GÖL
collection DOAJ
description Systemic lupus erythematosus (SLE) is an autoimmune disease with extensive organ involvement. Neuropsychiatric-SLE (NP-SLE) includes the involvement of the central nervous system, and has an epileptic seizure rate of 6.7% to 14.4%. The prognosis of epilepsy in NP-SLE patients is fairly good, usually long-term antiepileptic treatment is not needed and only 24% of patients require polytherapy. Less than half of seizures are focal onset seizures and focal onset seizure secondary status epilepticus is rarely seen in NP-SLE. Presently described is the case of a 17-year-old woman with focal onset seizures and impaired awareness with right lower extremity weakness who had been diagnosed with SLE and whose seizures were not controlled despite antiepileptic treatment. This report was presented to draw attention to the management of super refractory status epilepticus and to review neuropsychiatric-SLE.
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spelling doaj.art-420fd0f6f79c4e73a2e32b48f4ccea1b2023-08-01T11:13:22ZengGalenos YayineviArchives of Epilepsy2792-05502019-04-01251353910.14744/epilepsi.2018.0982113049054Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare CaseMehmet Fatih GÖL0Mehmet Fatih YETKİN1Elif Gülşen KÖSE2Füsun Ferda ERDOĞAN3 Department of Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey Department of Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey Department of Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey Department of Neurology, Erciyes University Faculty of Medicine, Kayseri, Turkey Systemic lupus erythematosus (SLE) is an autoimmune disease with extensive organ involvement. Neuropsychiatric-SLE (NP-SLE) includes the involvement of the central nervous system, and has an epileptic seizure rate of 6.7% to 14.4%. The prognosis of epilepsy in NP-SLE patients is fairly good, usually long-term antiepileptic treatment is not needed and only 24% of patients require polytherapy. Less than half of seizures are focal onset seizures and focal onset seizure secondary status epilepticus is rarely seen in NP-SLE. Presently described is the case of a 17-year-old woman with focal onset seizures and impaired awareness with right lower extremity weakness who had been diagnosed with SLE and whose seizures were not controlled despite antiepileptic treatment. This report was presented to draw attention to the management of super refractory status epilepticus and to review neuropsychiatric-SLE. http://archepilepsy.org/archives/archive-detail/article-preview/super-refractory-status-epilepticus-in-neuropsychi/54860 focal seizuressystemic lupus erythematosussuper refractory status epilepticus
spellingShingle Mehmet Fatih GÖL
Mehmet Fatih YETKİN
Elif Gülşen KÖSE
Füsun Ferda ERDOĞAN
Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case
Archives of Epilepsy
focal seizures
systemic lupus erythematosus
super refractory status epilepticus
title Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case
title_full Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case
title_fullStr Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case
title_full_unstemmed Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case
title_short Super Refractory Status Epilepticus in Neuropsychiatric Systemic Lupus Erythematosus: A Rare Case
title_sort super refractory status epilepticus in neuropsychiatric systemic lupus erythematosus a rare case
topic focal seizures
systemic lupus erythematosus
super refractory status epilepticus
url http://archepilepsy.org/archives/archive-detail/article-preview/super-refractory-status-epilepticus-in-neuropsychi/54860
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