Grand Rounds: An Update on Convulsive Status Epilepticus
نویسندگان
چکیده
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 phenytoin is infused over 30 minutes. After a further 15 minutes, by which time his GCS is 8/15, colleagues in anaesthetics are contacted with a view to transfer to the intensive care unit.
منابع مشابه
Therapie des Status epilepticus
Therapy of the Status Epilepticus. The status epilepticus is – second to stroke – the most common neurological emergency situation. The generalized convulsive status epilepticus (GCSE), the most severe and extreme expression of an epileptic seizure, is associated with a significant morbidity and one out of five patients will not survive. Only half of the patients have pre-existing epilepsy and ...
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عنوان ژورنال:
دوره 84 شماره
صفحات -
تاریخ انتشار 2015