Reversible coma associated with prolonged high-dose phenobarbital therapy in bilateral Sturge-Weber syndrome.

Abstract:

:High-dose phenobarbital therapy is an effective treatment for refractory status epilepticus in children. The advantages of this therapy include milder adverse effects without limits for maximal phenobarbital levels or doses during the initial phase of treatment. However, little is known about the safety of continuing the treatment. We describe an infant with intractable epilepsy associated with bilateral Sturge-Weber syndrome who became comatose after 1(2/3) months of high-dose phenobarbital treatment. The patient regained consciousness as serum phenobarbital concentration decreased to below 40 microg/mL. The progression and recovery were also documented by electroencephalogram and brainstem auditory evoked potentials. The present case suggests that prolonged high-dose phenobarbital therapy may cause cerebral and brainstem dysfunction in patients with severe cerebrovascular diseases. The underlying baseline metabolic and perfusion deficit related to the disease can precipitate the neurological complication during long-term high-dose phenobarbital therapy.

journal_name

J Child Neurol

authors

Wakamoto H,Nakamura Y,Ebihara T,Tokuda K,Ohmori H

doi

10.1177/0883073808331360

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1547-51

issue

12

eissn

0883-0738

issn

1708-8283

pii

0883073808331360

journal_volume

24

pub_type

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