Refractory status epilepticus following self-poisoning with the organochlorine pesticide endosulfan

被引:16
作者
Roberts, DM
Dissanayake, W
Sheriff, MHR
Eddleston, M
机构
[1] Univ Colombo, Ox Col Collaborat, Dept Clin Med, Colombo, Sri Lanka
[2] Royal Brisbane & Womens Hosp, Dept Intens Care Med, Herston, Qld, Australia
[3] Anuradhapura Gen Hosp, Anuradhapura, Sri Lanka
[4] Univ Oxford, Nuffield Dept Clin Med, Ctr Trop Med, Oxford, England
基金
英国惠康基金;
关键词
enclosulfan; mortality; poisoning; toxicology; status epilepticus; refractory status epilepticus;
D O I
10.1016/j.jocn.2003.09.021
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We describe a case of refractory status epilepticus presenting to a rural general hospital in Sri Lanka. This patient's condition was precipitated by intentional self-poisoning with the organochlorine insecticide endosulfan. Although rarely seen in developed countries, pesticide poisoning particularly with endosulfan is an important cause of difficult-to-manage seizures in Asian countries. In this case report, we discuss the management of status epilepticus and refractory status epilepticus. Further, we specifically discuss the clinical pharmacology and toxicology of endosulfan. (C) 2004 Elsevier Ltd. All rights reserved.
引用
收藏
页码:760 / 762
页数:3
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