Refractory Status Epilepticus Following Ingestion of Organochlorine Pesticide Endosulphan- A Case Report
A 22 years old female was brought to emergency department of Manipal teaching hospital, Pokhara, Nepal with suicidal consumption of 35 grams of endosulphan .She presented with status epilepticus not responding to intravenous benzodiazepine, loading doses of phenytoin and phenobarbitone and was managed by intravenous propofol and subsequently with continuous infusion of midazolam. Refractory status epilepticus is a common problem following ingestion of endosulphan and unless aggressively treated, it is associated with high morbidity and mortality. Endosulphan poisoning is often completely reversible with immediate and appropriate treatment.
Keywords: Endosulphan poisoning; seizure; refractory status epilepticus; benzodiazepine; propofol.
Nepal Journal of Medical Sciences. 2012; 1(1): 59-61
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