• Daniel San-Juan, Luis Ángel Álvarez-Perera, Daniel Oswaldo Dávila-Rodríguez, Christian Ramos-Jiménez, Víctor Alcocer-Barradas, Martha Lilia-Tena, David J Anschel, Jocelyn Pérez Cruz, and Iris Enriqueta Martínez-Juárez.
• Department of Clinical Research, National Institute of Neurology and Neurosurgery, Mexico City, Mexico. Electronic address: pegaso31@yahoo.com.
• World Neurosurg. 2019 Apr 1; 124: 277281277-281.

BackgroundSuper-refractory status epilepticus (SRSE) is a life-threatening neurologic emergency defined as "status epilepticus (SE) that continues 24 hours or more after the onset of anesthesia, including those cases in which the SE recurs on the reduction or withdrawal of anesthesia," which occurs in 10% to 15% of patients with SE and rarely has been resolved surgically.Case DescriptionsA 20-year-old man with SRSE and a long history of left parieto-occipital oligoastrocytoma was admitted for convulsive SE that became SRSE and underwent lesionectomy guided by electrocorticography and neuronavigation for local tumor recurrence. Histopathologic diagnosis was oligoastrocytoma. SRSE was aborted and the patient recovered fully without any functional deficits.ConclusionsThe lesionectomy guided by electrocorticography and neuronavigation should be considered as a treatment option for patients with SRSE.Copyright © 2019 Elsevier Inc. All rights reserved.

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