Treatment of seizure emergencies: Convulsive and non-convulsive status epilepticus

@article{Treiman2006TreatmentOS,
  title={Treatment of seizure emergencies: Convulsive and non-convulsive status epilepticus},
  author={D. Treiman and M. Walker},
  journal={Epilepsy Research},
  year={2006},
  volume={68},
  pages={77-82}
}
Status epilepticus (SE), defined as recurrent epileptic seizures without complete recovery between seizures, is one of the most serious manifestations of epilepsy. Generalized convulsive status epilepticus (GCSE) is the most common and most life-threatening form of SE, and aging increases the mortality risk. In a recent study of treatment of GCSE, 226 of 518 evaluable patients (43.6%) were of age 65 or older. In the 157 elderly patients with overt GCSE, phenobarbital was successful as first… Expand
Treatment of convulsive status epilepticus.
  • D. Treiman
  • Psychology, Medicine
  • International review of neurobiology
  • 2007
TLDR
Analysis of data on elderly patients with overt GCSE from a Veterans Affairs cooperative study revealed that success rates of first-line treatment were 71.4% for phenobarbital, 63.0% for lorazepam, 53.3% for diazepam followed by phenytoin, and 41.5% for Pheny toin alone. Expand
Non-convulsive Status Epilepticus and Non-convulsive Seizures in Neurological ICU Patients
TLDR
Specific clinical features along with history and imaging findings may be used to identify patients at high risk of NCSE/NCS in the neurological ICU, to better understand the risk factors, characteristics, and outcome of NCS/NCSE in the Neurological ICU. Expand
Management of Status Epilepticus and Critical Care Seizures
TLDR
Continuous electroencephalographic monitoring should become mandatory in the treatment of SE because of the late dissociation between clinical convulsions and electrographic seizures and the inability to use the clinical examination as guide to the treatment. Expand
Termination of complex partial status epilepticus by intravenous levetiracetam
TLDR
Video EEG monitoring showed resolution of mental clouding and a reduction in ictal EEG patterns within 35 min of administration of levetiracetam in a patient who, despite intravenous loading with phenytoin and oral administration of lorazepam, developed complex partial status epilepticus following a series of generalised tonic–clonic seizures. Expand
Status Epilepticus
TLDR
All patients with SE who remain with altered awareness 20 to 30 minutes after cessation of clinical seizures should undergo electroencephalographic studies, because up to 20% of patients without clinical evidence of seizures after initial treatment can have nonconvulsive SE. Expand
Nonconvulsive status epilepticus: a diagnostic and therapeutic challenge in the intensive care setting
TLDR
The focus of this review lies on clinical presentations and electroencephalogram features of comatose patients treated on ICUs and possible diagnostic pitfalls. Expand
Management of Acute Seizures in Persons with Intellectual Disabilities
TLDR
In people with limited intellectual ability, additional loss of skills can be of major importance, emphasising the need for a good understanding of the principles of effective epilepsy management. Expand
Non-convulsive status epilepticus in adults: clinical forms and treatment
TLDR
In order to improve overall care of patients with NCSE, strict diagnostic criteria are needed that should be based on clinical alterations and ictal electroencephalographic changes. Expand
Management of Critical Care Seizures
TLDR
There is a great deal of uncertainty regarding the optimal aggressiveness of nonconvulsive seizures and non Convulsive status epilepticus. Expand
NONCONVULSIVE STATUS EPILEPTICUS IN OLDER PEOPLE: A DIAGNOSTIC CHALLENGE AND A TREATABLE CONDITION
TLDR
An observational prospective study was conducted of all consecutive patients with acute unexplained change in mental, cognitive, or behavioral status or confusion that was the cause of hospitalization or had occurred during hospitalization in the Department of Geriatrics, Shaare Zedek Medical Center, over a 24-month period to determine the prevalence, clinical features, and course of NCSE in the elderly population. Expand
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