Anesthetic Considerations for Status Epilepticus in the First Trimester
A 40-year-old pregnant female at 10 weeks gestation presented to the ED with frequent focal seizures manifesting as lip twitching and leftward head deviation for 10-35 seconds. Imaging subsequently revealed a left frontal lobe mass. The seizures were refractory to four antiepileptic agents and continued to increase in frequency and duration. Her condition eventually progressed to focal status epilepticus requiring intubation and sedation with propofol. We review the safety and efficacy of anesthetic agents for pregnant women in the first trimester and discuss risks and benefits of escalating treatment for pregnant patients in status epilepticus to intubation and sedation.
Schneider E, Donatelli D, Soto RG. Anesthesia considerations for status epilepticus in the first trimester. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 15; San Francisco, CA.