Overreliance on EEG Normalization: A Case Report of DEE-SWAS Treated as Presumed NCSE Leading to Avoidable Escalation - Takeaways - MDSpire

Overreliance on EEG Normalization: A Case Report of DEE-SWAS Treated as Presumed NCSE Leading to Avoidable Escalation

  • By

  • Wu, Jie

  • Deng, Jie

  • Xu, Manting

  • Huang, Liyi

  • Zhao, Guangyuan

  • May 6, 2026

  • 0 min

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  • 1

    A 10-year-old boy with DEE-SWAS was misdiagnosed with non-convulsive status epilepticus due to EEG misinterpretation.

  • 2

    The boy underwent an anesthesia-induced coma to achieve EEG burst-suppression, leading to severe complications.

  • 3

    Complications included ventilator-associated pneumonia and impaired neurological function due to prolonged coma.

  • 4

    Adjusting his antiepileptic treatment after discontinuing anesthetics led to seizure resolution, but ESES persisted.

  • 5

    This case highlights the need for careful differentiation between ESES and NCSE and the risks of unnecessary treatments.

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