Anoxic Myoclonic Status Epilepticus

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

Fig. 13.1 Electroencephalogram (EEG) of a 70-year-old woman. Cardiac arrest with cardiac infarction. Comatose, on respirator, no visible myoclonic jerks. Generalized periodic discharges-burst suppression pattern. No identifiable cortical activity amidst abundant…

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Continuous EEG Monitoring for Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Continuous EEG Monitoring for Status Epilepticus

Fig. 23.1 The EEG of a nonconvulsive seizure. This is an EEG (settings: 7 uV; low-frequency filter: 1 Hz; high frequency filter: 70 Hz; and notch filter turned on), from an 87-year-old man…

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Myoclonic Status Epilepticus

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

Gastaut classification Etiology Exemplary condition Mental status EEG background Typical duration of MSE Clinical characteristics of myoclonus Frequency of myoclonus Stimulus-sensitive EEG correlate Time-locked EEG Location of presumed physiologic disturbance…

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Status Epilepticus in Critically Ill Children

Dec 24, 2017 by in NEUROLOGY Comments Off on Status Epilepticus in Critically Ill Children

Type of status epilepticus Time 1 (Treatment started) (min) Time 2 (Consequences expected) Tonic-clonic 5 30 min Focal with impaired consciousness 10 >60 min Absence 15 Unknown Adapted from Trinka…

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Treatment of Refractory and Super-Refractory Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Treatment of Refractory and Super-Refractory Status Epilepticus

Fig. 17.1 Suggested algorithm for the selection of 3rd–5th line anti-seizure drugs for treatment of refractory status epilepticus. ASD anti-seizure drug Table 17.1 Non-anesthetic anti-seizure drug options for the treatment of refractory…

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Periodic EEG Patterns

Dec 24, 2017 by in NEUROLOGY Comments Off on Periodic EEG Patterns

Fig. 5.1 Examples of periodic and rhythmic waveforms. EEG is displayed in a longitudinal bipolar montage. Filter settings and scale are shown in the figure. a Left temporoparietal lateralized periodic discharges…

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Status Epilepticus in Neonates

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

(1) Neurology, Division of Pediatric and Developmental Neurology, Washington University School of Medicine and St. Louis Children’s Hospital, 660 South Euclid Ave, Campus Box 8111, St. Louis, MO 63110, USA  …

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Clinical Presentations of Nonconvulsive Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Clinical Presentations of Nonconvulsive Status Epilepticus

Artifactual Rhythmic, regular or paroxysmal muscle movement, ECG, or ballistocardiographic artifacts Physiologic rhythmic patterns or patterns of nonepileptic significance Rhythmic midtemporal theta of drowsiness Subclinical rhythmic epileptiform discharges of adults…

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Designing New Studies in Status Epilepticus

Dec 24, 2017 by in NEUROLOGY Comments Off on Designing New Studies in Status Epilepticus

Stage Treatment threshold Treatment Response criterion Prophylaxis Periodic discharges lasting ≥1 min Start maintenance therapy with ASD #1 No progression to seizures 1st line therapy Single seizure lasting ≥1 min (with any…

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