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Licensed Unlicensed Requires Authentication Published by De Gruyter July 17, 2020

Treatment strategies for encephalopathy related to status epilepticus during slow sleep, a narrative review of the literature

  • Ke Zhang , Yu Yan EMAIL logo and Tangfeng Su ORCID logo EMAIL logo

Abstract

Encephalopathy related to Status Epilepticus during slow Sleep (ESES) is an age-dependent syndrome characterized by the appearance of neuropsychological and behavioral disorders associated with extreme activation of epileptic activity during sleep. The major goal of therapy in ESES is to prevent neuropsychological deficits. Effective therapy to reduce seizures and resolve the EEG pattern of status epilepticus during sleep (SES) may be crucial to improve long-term prognosis. However, whether to improve neurodevelopmental deficits by suppressing or eliminating SES remains unknown. The purpose of this article is to review current therapeutic options in ESES, in order to provide better alternatives. Treatment options consist of antiepileptic drugs, steroids, immunoglobulins, the ketogenic diet, and surgery. Maybe therapy targeted mechanisms can be developed with deep insight into the etiology of ESES.


Corresponding authors: Tangfeng Su, Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China, E-mail: ; and Yu Yan, Department of Neurology, People’s Hospital of Dongxihu District, Wuhan, Hubei 430040, China, E-mail:

Award Identifier / Grant number: 81804188

Acknowledgments

This work was supported by the National Natural Science Foundation of China (81804188) to T.S.

  1. Author contribution: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Conflict of interest statement: The authors declare no conflicts of interest regarding this article.

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Received: 2020-03-29
Accepted: 2020-05-21
Published Online: 2020-07-17
Published in Print: 2020-10-25

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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