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Status epilepticus is a life-threatening medical emergency, particularly if treatment is delayed. [1] Status epilepticus may occur in those with a history of epilepsy as well as those with an underlying problem of the brain. [2] These underlying brain problems may include trauma, infections, or strokes, among others.
Symptoms may include shaking, loss of consciousness, and loss of bladder control. [2] They may or may not be caused by either physiological or psychological conditions. [2] Physiological causes include fainting, sleep disorders, and heart arrhythmias. [2] [3] Psychological causes are known as psychogenic non-epileptic seizures. [3]
Based on symptoms, blood tests, medical imaging, electroencephalography [7] Differential diagnosis: Syncope, psychogenic non-epileptic seizure, migraine aura, transient ischemic attack [3] [8] Treatment: Less than 5 min: Place person on their side, remove nearby dangerous objects More than 5 min: Treat as per status epilepticus [3] [5] [9 ...
As is the case with other non-convulsive status epilepticus forms, CPSE is dangerously underdiagnosed. [3] This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an electroencephalogram, or EEG, is needed to confirm a neurologist's suspicions.
In particular, the GABA agonists vigabatrin and tiagabine are used to induce, not to treat, absence seizures and absence status epilepticus. [30] Similarly, oxcarbazepine, phenytoin, phenobarbital, gabapentin, and pregabalin should not be used in the treatment of absence seizures because these medications may worsen absence seizures. [26]
Convulsive status epilepticus that does not respond to initial treatment typically requires admission to the intensive care unit and treatment with stronger agents such as midazolam infusion, ketamine, thiopentone or propofol. [106] Most institutions have a preferred pathway or protocol to be used in a seizure emergency like status epilepticus ...
Early electroencephalography is recommended if there is a possibility of non-convulsive or subtle status epilepticus. They are examined for disorders such as sarcoidosis , porphyria , and other unusual systemic disorders.
Syndromes are characterized into 4 groups based on epilepsy type: [1] a. Generalized onset epilepsy syndromes. These epilepsy syndromes have only generalized-onset seizures and include both the idiopathic generalized epilepsies (specifically childhood absence epilepsy, juvenile absence epilepsy, juvenile myoclonic epilepsy and epilepsy with generalized tonic- clonic seizures alone), as well as ...
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