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Pediatric fulminant malignant hyperthermia with severe electroencephalographic abnormality and brain damage: a case report.

Sakura MinamiAzusa IkedaKaori YamadaAya KajihamaHiroyuki ShimizuHiroyuki Nagafuchi
Published in: Journal of medical case reports (2023)
In this case, despite the use of high-dose anticonvulsants, the patient showed severe electroencephalogram abnormality, resulting in diffuse cortical damage. Hyperthermia is known to damage the central nervous system by causing increased brain pressure and cerebral edema, which may have triggered the severe neuronal excitation that we observed in this case. The presence of systemic inflammatory response syndrome and the patient's background, including young age and ethnicity, might also have been factors. Malignant hyperthermia can be complicated by encephalopathy, and continuous electroencephalogram monitoring should be considered.
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