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Drug-resistant seizures associated with hyperinflammatory monocytes in FIRES.

Charles L HoweRenee K JohnsonBrittany L OverleeJessica A SagenNiyati MehtaRaquel Farias-Moeller
Published in: Annals of clinical and translational neurology (2023)
FIRES may be associated with a hyperinflammatory monocytic response to normally banal bacterial pathogens. This hyperinflammatory response may induce a profound neutrophil burden and the consequent release of factors that further exacerbate inflammation and drive neuroinflammation. Intrathecal dexamethasone may resolve RSE by resetting this inflammatory feedback loop.
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