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Brain on Fires: Super Refractory Seizure in a 7 Yr Old Boy



Tavasoli A1 ; Gharib B2 ; Alizadeh H3 ; Farshadmoghaddam H1 ; Memarian S5 ; Ashrafi M1 ; Sharifzade M2
Authors
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Authors Affiliations
  1. 1. Pediatric Neurology Department, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Pediatric Intensive Care Department, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Radiology Department, Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Children’s Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Pediatrics Department, Children’s Medical Center, Tehran University of Medical Science, Tehran, Iran

Source: Iranian Journal of Child Neurology Published:2016

Abstract

We present a 7 yr old boy afflicted with super-refractory seizure that responded poorly to antiepileptic drugs and sustained a long course of hospitalization and complications of high doses of medications as well as longstanding stay in hospital. The differential diagnoses were, fever-induced refractory epileptic encephalopathy (FIRES), and infectious and autoimmune encephalitis. However, work-ups had not revealed any evidence of any specific diagnosis, so we assumed that he was afflicted by viral infectious encephalitis as he had, fever, vomiting, and prodromal symptoms of infectious (most probably viral) disease prior to onset of the seizure attacks. © 2016, Iranian Child Neurology Society. All rights reserved.