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Case Records of the Massachusetts General HospitalFree Preview

Case 4-2020: A 52-Year-Old Woman with Seizure Disorder and Wide-Complex Tachycardia

List of authors.
  • Daniel B. Kramer, M.D., M.P.H.,
  • Nino Mihatov, M.D.,
  • Karen A. Buch, M.D.,
  • Sahar F. Zafar, M.D.,
  • and Jeremy N. Ruskin, M.D.

A 52-year-old woman with refractory status epilepticus was admitted to the hospital. Despite treatment with a five-drug regimen, electroencephalography showed ongoing seizure activity. Fever, hypotension, a new wide-complex tachycardia, and diffuse global ventricular hypokinesis developed. A diagnosis was made.

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Funding and Disclosures

This case was presented at the Medical Case Conference.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

Author Affiliations

From the Department of Medicine, Beth Israel Deaconess Medical Center (D.B.K.), the Departments of Medicine (D.B.K., N.M., J.N.R.), Radiology (K.A.B.), and Neurology (S.F.Z.), Harvard Medical School, and the Departments of Medicine (N.M., J.N.R.), Radiology (K.A.B.), and Neurology (S.F.Z.), Massachusetts General Hospital — all in Boston.

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