14 year f child admited with sudden history of generalised jurkey movements of upper limb and lower limb, was in status epilepticus intubated with rapid sequence atracurium propofol , bp 120/70 prophylactic put on single strenth noradrenalin, received 70 mg propofol for 50 kg child n still she was moving, all basic lab are normal, no any past history nighter in child hood case update csf clear, EEG normal sedation weaning off

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Sir do MRI brain if normal please do CSF what about EEG. Possiblity of Status epilepticus

Mri b normal, csf normal It was case of grandmal epilepsy
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Status epileticus protocol should b followed.. Epsilon 16cc slowly.. If not respond... 8cc..of epsilon.. Can b repeated.. Intermittently use llrazepam... If not then... Phenobarb... Then.. Levera or valparin

Initiated with loraz 4 mg, levipil 1gm loading fosolin 1 gm loaded, loraz 2 mg repeated still seizures continued propofol loaded n to secure intubated tjen seizure stoped confirmed with EEG, so continued with midaz infusion fo 12 hours
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Grandmal epilepsy

Whether anh froath coming from mouth or urine had passed or not
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Its a case of Grandmal epilepsy ..

Epilepsy GTC. Start aed +dexona&fuc Mri (brain) EEG

Why dexona, do u really feel it is not at all infective ???
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