Case 1 | Case 2 | |
---|---|---|
Ancillary diagnostics | Haematology and serum biochemistry profile normal, CSF normal | Haematology and serum biochemistry profile normal, EEGd-no epileptic activity |
EEGd (2nd exam): duration 39 min 55 s; continuous short paroxysms and spikes at the C3 electrode | ||
Emergency treatment | 2nd exam: medetomidineª 75 µg/kg | 1st exam: phenobarbitalb 10 + 4 + 4 mg/kg IV, diazepamc 0.5 mg/kg IV, medetomidinea 40 µg/kg intramuscular |
IM, phenobarbitalb 10 mg/kg IV | 2nd exam: medetomidinea 30 µg/kg IM, diazepamc 0.5 mg/kg IV and phenobarbitalb 6 mg/kg IV | |
At home treatment | Diazepam 0.6 mg/kg twice daily (BID) orally (PO) was started the day prior to referral | Phenobarbitalb 3 mg/kg BID PO prior to referral |
Phenobarbitalb 1.9 mg/kg BID PO, increased to 3.8 mg/kg BID after 2 months |