Initial Treatment of Nonconvulsive Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on 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…

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Evolving Concepts of Nonconvulsive Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on 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…

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Types of Status Epilepticus: Definitions and Classification

Dec 24, 2017 by in NEUROLOGY Comments Off on 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…

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Nonpharmacologic Treatments of Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on 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…

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Early Treatment of Convulsive Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on 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…

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Tonic, Clonic, and Atonic Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Tonic, Clonic, and Atonic Status Epilepticus

Fig. 14.1 Electroencephalogram (EEG) of a 38-year-old man with refractory epilepsy admitted for presurgical evaluation who presented with generalized tonic-clonic seizures and clusters of atonic seizures (repeated up to 60 times…

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Focal Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Focal Status Epilepticus

Fig. 11.1 Epilepsia partialis continua (EPC). Repeated myoclonic jerks of the left face, with muscle artifact on the left side of the EEG recording. Polymorphic delta slowing over the right hemisphere,…

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Neuropathology of Generalized Convulsive Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Neuropathology of Generalized Convulsive Status Epilepticus

Systemic or intracerebroventricular NMDA Quisqualate Kainic acid Domoic acid Pentylenetetrazol Bicuculline Allylglycine Pilocarpine ± lithium Soman Flurothyl Intracerebral Kainic acid in amygdala Dibutyl cAMP into amygdala Folic acid into cortex Penicillin into…

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