Super-refractory Status Epilepticus: An atypical presentation and case-based review

Introduction
Super-refractory status epilepticus is known to typically arise either from a distinct underlying cause or and in patients with no history of epilepsy in whom it develops from no overt cause. It has recently presented in an unclear pattern. Presently, there are various challenges against managing this problem in resource-poor settings.
Case Presentation and discussion
We now report our recent experience and lessons learnt from a case of super – refractory status epilepticus preceeded by atypical features in a 50 year old Nigerian woman, and briefly review the current concepts of it’s management, especially with regards to resource – poor settings.
Conclusion
Super – refractory status epilepticus can present with a confusing clinical picture. Obtaining a good outcome in the management of this difficult problem is highly dependent on accurate diagnosis and prompt treatment. In view of difficulties with access to resources and facilities required for optimal care of patients with super –refractory status in resource – poor countries, newer treatment protocols to be developed in the future should take into consideration readily available options of therapy in such settings.