RT Book, Section A1 Urtecho, Jacqueline S. A1 Athas, Deena M. A2 Lee, Kiwon SR Print(0) ID 1143958092 T1 Catheter-Related Bloodstream Infections T2 The NeuroICU Book, 2e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071841443 LK neurology.mhmedical.com/content.aspx?aid=1143958092 RD 2024/03/28 AB A 72-year-old man with a history of stroke, hypertension, hyperlipidemia, and metastatic lung cancer with known metastases to the brain and bone presents with status epilepticus. The patient had four generalized tonic clonic seizures lasting less than 1 minute each. He was initially treated with 6 mg of lorazepam en route, but his seizures persisted. Upon arrival in the emergency department he was intubated, loaded with phosphenytoin, and transferred to the neurologic intensive care unit (NeuroICU), and EEG monitoring was initiated. In the NeuroICU he continued to have convulsive and nonconvulsive seizures, eventually requiring high doses of midazolam and propofol to create burst suppression. His tunneled chemotherapy port was accessed for immediate infusion of midazolam. In addition, a radial arterial line was placed for blood pressure monitoring. His seizures stop on hospital day 4, but then he develops a fever of 101.9°F (38.8°C) on hospital day 6.