Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient
We elaborate on the retrospective analysis of clinical data on a patient afflicted with grand mal seizures following a kidney transplant. The 16-year-old female patient was hospitalized for chronic glomerulonephritis. She experienced an epileptic seizure and was treated with carbamazepine. Renal tra...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2011/706107 |
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| _version_ | 1850161597126803456 |
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| author | Gao Hongjun Luo Xiangdong Liang Taisheng Lu Shangguang Liang FangFang Dong Yu Tan Zhen Wu Zhen |
| author_facet | Gao Hongjun Luo Xiangdong Liang Taisheng Lu Shangguang Liang FangFang Dong Yu Tan Zhen Wu Zhen |
| author_sort | Gao Hongjun |
| collection | DOAJ |
| description | We elaborate on the retrospective analysis of clinical data on a patient afflicted with grand mal seizures following a kidney transplant. The 16-year-old female patient was hospitalized for chronic glomerulonephritis. She experienced an epileptic seizure and was treated with carbamazepine. Renal transplantation was performed; the function of the transplant kidney was normal. However, grand mal seizures, which required intravenous and luminal intramuscular diazepam injections for control, began on the fourth postoperative day and lasted for 3 days, occurring approximately 10 to 20 times per day. On the sixth day, the patient fell into a deep comatose state and developed the inability to move the right side of her body, hypomyotonia, type 1 respiratory failure, and a pulmonary infection. She was given a breathing machine to assist with respiration. At the same time, she was given protection from infection, tranquilization, treatment for dehydration and diuresis, supportive therapy for the right side of her body, and adjustment of her immunosuppressants. On the 12th postoperative day, the patient's consciousness gradually returned; on the 15th day, the breathing machine was removed with recovery of myodynamia; on the 27th day, she was fully cured with no neurological sequelae. |
| format | Article |
| id | doaj-art-f7de0b78061a41aaaebdfcb1ab7ee3dd |
| institution | OA Journals |
| issn | 2090-6943 2090-6951 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Transplantation |
| spelling | doaj-art-f7de0b78061a41aaaebdfcb1ab7ee3dd2025-08-20T02:22:48ZengWileyCase Reports in Transplantation2090-69432090-69512011-01-01201110.1155/2011/706107706107Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal RecipientGao Hongjun0Luo Xiangdong1Liang Taisheng2Lu Shangguang3Liang FangFang4Dong Yu5Tan Zhen6Wu Zhen7RuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaRuiKang Hospital, Affiliated to GuangXi Chinese Traditional Medicine College, Nanning 530011, ChinaWe elaborate on the retrospective analysis of clinical data on a patient afflicted with grand mal seizures following a kidney transplant. The 16-year-old female patient was hospitalized for chronic glomerulonephritis. She experienced an epileptic seizure and was treated with carbamazepine. Renal transplantation was performed; the function of the transplant kidney was normal. However, grand mal seizures, which required intravenous and luminal intramuscular diazepam injections for control, began on the fourth postoperative day and lasted for 3 days, occurring approximately 10 to 20 times per day. On the sixth day, the patient fell into a deep comatose state and developed the inability to move the right side of her body, hypomyotonia, type 1 respiratory failure, and a pulmonary infection. She was given a breathing machine to assist with respiration. At the same time, she was given protection from infection, tranquilization, treatment for dehydration and diuresis, supportive therapy for the right side of her body, and adjustment of her immunosuppressants. On the 12th postoperative day, the patient's consciousness gradually returned; on the 15th day, the breathing machine was removed with recovery of myodynamia; on the 27th day, she was fully cured with no neurological sequelae.http://dx.doi.org/10.1155/2011/706107 |
| spellingShingle | Gao Hongjun Luo Xiangdong Liang Taisheng Lu Shangguang Liang FangFang Dong Yu Tan Zhen Wu Zhen Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient Case Reports in Transplantation |
| title | Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient |
| title_full | Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient |
| title_fullStr | Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient |
| title_full_unstemmed | Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient |
| title_short | Diagnosis and Treatment of Status Epilepticus in a Pediatric Renal Recipient |
| title_sort | diagnosis and treatment of status epilepticus in a pediatric renal recipient |
| url | http://dx.doi.org/10.1155/2011/706107 |
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