منابع مشابه
The management of refractory status epilepticus: an update.
Refractory status epilepticus (RSE) is an important and serious clinical problem that typically requires prolonged and high-level intensive care, and is often associated with poor outcome. This review addresses some of the current issues concerning the management of RSE, including recent definitions used for clinical studies, epidemiology, clinical course, and outcome. Current approaches to tre...
متن کاملStatus epilepticus and refractory status epilepticus management.
Status epilepticus (SE) describes persistent or recurring seizures without a return to baseline mental status and is a common neurologic emergency. SE can occur in the context of epilepsy or may be symptomatic of a wide range of underlying etiologies. The clinician's aim is to rapidly institute care that simultaneously stabilizes the patient medically, identifies and manages any precipitant con...
متن کاملGrand Rounds: An Update on Convulsive Status Epilepticus
A 65 year old man, with no past history of epilepsy or seizures and of weight 80kg, is admitted with sepsis. After a 5 minute generalized tonic-clonic seizure (GTCS) he is given 2mg of intravenous lorazepam. After multiple brief GTCS he is given a further 2 mg of intravenous lorazepam. He becomes obtunded. After a further 10 minutes when he has developed subtle left facial twitching, 1 g of phe...
متن کاملStatus Epilepticus and Beyond: A Clinical Review of Status Epilepticus and an Update on Current Management Strategies in Super-refractory Status Epilepticus
Status epilepticus and refractory status epilepticus represent some of the most complex conditions encountered in the neurological intensive care unit. Challenges in management are common as treatment options become limited and prolonged hospital courses are accompanied by complications and worsening patient outcomes. Antiepileptic drug treatments have become increasingly complex. Rational poly...
متن کاملStatus epilepticus.
PURPOSE OF REVIEW This review presents the state of the art in the diagnosis and management of status epilepticus. RECENT FINDINGS In addition to general background, this article presents the most recent findings regarding the diagnosis and treatment of status epilepticus, including the results of the Rapid Anticonvulsant Medication Prior to Arrival Trial (RAMPART) and the available data on t...
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ژورنال
عنوان ژورنال: Zeitschrift für Epileptologie
سال: 2018
ISSN: 1617-6782,1610-0646
DOI: 10.1007/s10309-018-0211-0