Super-Refractory Status Epilepticus in Pregnancy-An Exigent Management

Abstract

Super-refractory status epilepticus is known as the seizure that persist beyond 24 hours even after administration of intravenous anesthesia drugs. It is a rare diagnosis especially in pregnant population and thus its management is also limited to case series and reports. Our case presented with this diagnosis and we managed it with three tier system of pharmacological agents and termination of pregnancy. Unfortunately, exact cause of the SRSE in our case was not found and patient has been discharged on dual antiepileptic drugs along with antidepressants with follow up in neurology out-patient department. It is important to keep one self-aware of the treatment protocol in cases of status epilepticus other than due to eclampsia.