Olanzapine Bağlı Süper Refrakter StatusEpileptikus Tedavisinde Vagal SinirStimülasyonu: Olgu Sunumu


İLHAN ALGIN D., ÇAĞLAR H., AYKAÇ Ö., VURAL M., ERDİNÇ O. O.

Epilepsi, vol.26, no.3, pp.203-206, 2020 (ESCI) identifier

  • Publication Type: Article / Case Report
  • Volume: 26 Issue: 3
  • Publication Date: 2020
  • Doi Number: 10.14744/epilepsi.2020.55822
  • Journal Name: Epilepsi
  • Journal Indexes: Emerging Sources Citation Index (ESCI), TR DİZİN (ULAKBİM)
  • Page Numbers: pp.203-206
  • Keywords: Olanzapin, super refraktor status epileptikus, vagal sinir stimulasyonu, PREDICTORS, EPILEPSY
  • Eskisehir Osmangazi University Affiliated: Yes

Abstract

Olanzapine-related seizures have rarely been reported despite associated proconvulsant risk factors described in the literature. Refractory and super refractory status epilepticus is continuous seizure activity not controlled by antiepileptic drugs and related poor outcomes. Because of high mortality with polypharmacy and continuous anesthetic use, there has been a considerable interest in using nonmedicinal devices like vagal nerve stimulation in aborting a seizure. In this case study, we presented a patient who developed generalized tonic-clonic seizures when olanzapine was added for psychomotor agitation and aggressiveness and super refractory status epilepticus treated using vagal nerve stimulation.