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How do you treat refractory focal status epilepticus in patients with traumatic bilateral subdural hematomas?

How do you treat refractory focal status epilepticus in an adult with history of alcoholism and traumatic bilateral subdural hematomas who is failing Keppra and Depakote?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Neurology · Michigan State Univ
Answered on

It is important to know a few more facts:

  • Are the subdural hematomas acute/relevant? Or are they chronic findings (remote symptomatic epilepsy)? If they are acute, are they significant enough to cause brain compression needing neuro-surgical intervention?
  • Is this electrographic only (non-clinical) ...

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