Refractory Status Epilepticus

Dec 31, 2018 by in PSYCHIATRY Comments Off on Refractory Status Epilepticus

Introduction Print Section Listen Traditionally, status epilepticus (SE) was defined as continuous or repetitive seizure activity persisting for at least 30 minutes without recovery of consciousness between attacks. More recently,…

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Interpreting Depth Electrode EEG

Dec 31, 2018 by in PSYCHIATRY Comments Off on Interpreting Depth Electrode EEG

Introduction Print Section Listen The goal of both intracranial and scalp electroencephalography (EEG) within the epilepsy surgery evaluation is to identify the brain region critical for seizure generation (epileptogenic zone)…

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Interpreting Grid and Strip Electrode EEG

Dec 31, 2018 by in PSYCHIATRY Comments Off on Interpreting Grid and Strip Electrode EEG

Introduction Print Section Listen Long-term video-electroencephalographic (EEG) monitoring may be used to confirm the diagnosis of a seizure disorder, classify seizure-type(s), assess response to therapy, and evaluate patients for surgical…

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Use and Placement of Depth Electrodes

Dec 31, 2018 by in PSYCHIATRY Comments Off on Use and Placement of Depth Electrodes

Introduction Print Section Listen Monitoring epilepsy patients with scalp-recorded electroencephalography (EEG) is the mainstay in the evaluation for potential curative surgery. Inpatient combined video-EEG monitoring (VEM) to record seizures can…

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Use and Placement of Grid and Strip Electrodes

Dec 31, 2018 by in PSYCHIATRY Comments Off on Use and Placement of Grid and Strip Electrodes

Introduction Print Section Listen For patients with intractable epilepsy, the role of intracranial surgery has been progressively recognized as a well-tolerated and clearly beneficial treatment option.1–3 Improvements in quality of…

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Nonepileptic Movements in Coma

Dec 31, 2018 by in PSYCHIATRY Comments Off on Nonepileptic Movements in Coma

Introduction Print Section Listen It might seem as if it came straight out of a movie: a comatose patient suddenly moves his hand in a purposeful manner, trying to grab…

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Absence Status Epilepticus

Dec 31, 2018 by in PSYCHIATRY Comments Off on Absence Status Epilepticus

Introduction Print Section Listen The term nonconvulsive status epilepticus (SE) is used to describe a situation in which there is prolonged electrographic seizure activity that results in an alteration of…

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Epilepsia Partialis Continua

Dec 31, 2018 by in PSYCHIATRY Comments Off on Epilepsia Partialis Continua

Introduction Print Section Listen Epilepsia partialis continua (EPC) is a rare presentation of epilepsy, but its recognition is important because it may be the harbinger of very serious disease. EPC…

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Complex Partial Status Epilepticus

Dec 31, 2018 by in PSYCHIATRY Comments Off on Complex Partial Status Epilepticus

Introduction Print Section Listen Status epilepticus (SE) is the term given to prolonged seizure activity that is of sufficient duration to produce a “fixed and lasting epileptic condition” or neuronal…

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Generalized Convulsive Status Epilepticus

Dec 31, 2018 by in PSYCHIATRY Comments Off on Generalized Convulsive Status Epilepticus

Introduction Print Section Listen Most seizures stop. Failure to do so implies that the mechanisms needed to stop seizures are ineffective or treatment simply fails. Defining status epilepticus (SE) clinically…

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