The Epidemiology of Status Epilepticus
Location of study, Reference, (year published) N Annual incidence (per 100,000) Epilepsy prior to SE Most common etiology Mortality/case fatality rate (%) Other Richmond, Virginia DeLorenzo et al. [20] (1995)…
Consequences of Nonconvulsive Status Epilepticus: Experimental and Clinical Evidence
© Springer Science+Business Media LLC 2018Frank W. Drislane and Peter W. Kaplan MBBS (eds.)Status EpilepticusCurrent Clinical Neurologyhttps://doi.org/10.1007/978-3-319-58200-9_25 25. Consequences of Nonconvulsive Status Epilepticus: Experimental and Clinical Evidence Karthik Rajasekaran2 and Howard P. Goodkin1 (1) Departments of Neurology and…
The Management of Nonconvulsive Status Epilepticus in Adults
Adults Children References Following convulsive status epilepticus 48% 26–57% [21, 25, 29–34] Epilepsy-related 33–39% 11–71% [20–28] Sepsis-associated encephalopathy 32% 58% [16–19] Recent neurosurgical procedures 23% 71% [22, 28, 38]…
Initial Treatment of Nonconvulsive Status Epilepticus
Absence status epilepticus (ASE) Typical absence status epilepticus (in the IGEs) de novo absence status epilepticus (in the elderly) Atypical absence status epilepticus Simple partial status epilepticus (SPSE) Complex partial…
Cognitive Manifestations of Focal Status Epilepticus
Cognitive sign Definition References Asomatognosia Failure to recognize a body part as being one’s own Thomas et al. [2], Feinberg et al. [3] and Nishibayashi et al. [4] Anosagnosia Lack…
Causes, Manifestations, and Complications of Generalized Convulsive Status Epilepticus in Adults
The sequential EEG patterns Definition of EEG patterns 1. Discrete seizures Focal low-voltage fast activity which increases in amplitude, spreads across the midline, and then slows in discharge frequency. Generalized…
Evolving Concepts of Nonconvulsive Status Epilepticus
Triphasic waves: Surface-negative, blunted triphasic complexes with: (a) low-amplitude, blunted, negative first phase (often wide-based); (b) dominant, steep positive second phase; and (c) slow rising third “slow-wave” component. No polyspike…
Types of Status Epilepticus: Definitions and Classification
Continuous seizure types Generalized SE Generalized tonic-clonic SE Clonic SE Absence SE Tonic SE Myoclonic SE Focal SE Epilepsia partialis continua Aura continua Limbic SE (psychomotor status) Hemiconvulsive SE with…
Nonpharmacologic Treatments of Status Epilepticus
GABAergic Anti-inflammatory Slowing of nerve conduction velocity Disruption of epileptogenic network Neuro-protective Therapeutic hypothermia X X X Neurostimulation ECT X X rTMS X VNS X Neurosurgery X Ketogenic diets…
Early Treatment of Convulsive Status Epilepticus
Fig. 16.1 Proposed algorithm for the treatment of status epilepticus (From Glauser et al. [11], with permission). Image courtesy of the American Epilepsy Society Table 16.1 includes a summary of the recommendations…
