status epilepticus


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status epilepticus

(ˌɛpɪˈlɛptɪkəs)
n
(Pathology) a condition in which repeated epileptic seizures occur without the patient gaining consciousness between them. If untreated for a prolonged period it can lead to long-term disability or death
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Noun1.status epilepticus - a condition in which there are continuing attacks of epilepsy without intervals of consciousness; can lead to brain damage and death
epilepsy - a disorder of the central nervous system characterized by loss of consciousness and convulsions
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Status epilepticus is considered a very common neurological disease which usually presents as an emergency thus requires immediate steps for pre-vention of permanent damage to the brain tissues.1 Prevalence is usually high in extreme of ages i.e.
27(47.4 %) cases seizure was solitary followed by twice (38.6%) and multiple (14%) episode and 5.3 % subjects developed status epilepticus. 12 (21.1 %) of the study subjects received treatment with Phenobarbitone (66.6%), Phenytoin (16.7%), and both Phenobarbitone and Phenytoin (16.7%) before admission at primary or secondary health centre and 78.9 % did not receive any treatment.
At the age of 4 months she presented with status epilepticus. After two doses of rectal diazepam, treatment with loading dose of 20 mg/kg phenytoin and 40 mg/kg levetiracetam didn't stop the seizures, midazolam infusion was started and she was intubated.
The status epilepticus was controlled after intubation on day 1 however he remained on mechanical ventilation due to pneumonia and persistent drowsiness.
Material and Methods: All the patients with status epilepticus, from Jan 2014 to Dec 2014 were treated with ketamine in addition to benzodiazepines, phenytoin and levitricetam.
In a review article, administering phenytoin at a slow rate (25 mg/min) for status epilepticus is recommended in geriatric patients and patients with known cardiovascular disease (4).
Nonconvulsive status epilepticus (NCSE) and acute repetitive seizures (ARS) are associated with significant morbidity and mortality and require prompt and effective treatment.
Status epilepticus (SE) is a neurologic emergency associated with significant morbidity and mortality.
If present, the incidence of seizures and status epilepticus is high and associated with poor outcome [1].
This report describes a case of transient hyperammonemia in the setting of acute-onset status epilepticus. This is a subset of patients separate from those experiencing a gradual onset of encephalopathy over two to three days, in whom prompt treatment of initial hyperammonemia may be appropriate.
The criteria of the FS group were status epilepticus lasting [greater than or equal to] 15 min plus a clinical course eliminating the diagnosis of encephalopathy.