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Status Epilepticus

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Handbook of Neurocritical Care

Part of the book series: Current Clinical Neurology ((CCNEU))

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Abstract

Status Epilepticus (SE): a seizure persisting for a sufficient length of time or is repeated frequently enough to produce a fixed and enduring epileptic condition:

  • Specific duration of unremitting seizures historically were arbitrarily assigned to 30 min by experts in the field

  • Subsequently shorter seizure epochs have been emphasized as SE

  • Based on typical seizure duration of 1–2 min, SE should likely be considered in seizure events >5–10 min in length

  • Some reports of 10–29 min seizures having spontaneous resolution without therapy, but consensus is that this represents a small population, and a higher risk-benefit ratio exists in not treating such patients as SE

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Suggested Reading

  • Bleck TP. Management approaches to prolonged status epilepticus. Epilepsia 1999; 40 (S1): S59 - S63.

    Article  PubMed  Google Scholar 

  • Brenner RP. Is it status? Epilepsia 2002; 43 (S3): S103–S113.

    Article  Google Scholar 

  • Coulter DA and DeLorenzo RJ. Basic mechanisms of status epilepticus. Adv Neurol 1999; 79: 725–733.

    PubMed  CAS  Google Scholar 

  • Kaplan PW. Assessing the outcomes in patients with nonconvulsive status epilepticus: nonconvulsive status epilepticus is undersiagnosed, potentially overtreated, and confounded by morbidity. J Clin Neurophysiol 1999; 16: 341–352.

    Article  PubMed  CAS  Google Scholar 

  • Lowenstein DH. Status epilepticus: An overview of the clinical problem. Epilepsia 1999; 40 (S1): S3–S8.

    Article  PubMed  Google Scholar 

  • Niedermeyer E. Epileptic seizure disorders. In: Electroencephalography: Basic Principles, Clinical Applications, and Related Fields. ( Niedermeyer E and Lopes da Silva F eds.), Baltimore: Williams and Wilkins; 1993: 461–565.

    Google Scholar 

  • Treiman DM, et. al. Acompari son of four treatments for generalized convulsive status epilepticus. NEJM 1998; 339: 792–798.

    Article  PubMed  CAS  Google Scholar 

  • Wasterlain CG, Fujikawa DG, Penix L, and Sankar R. Pathophysiological mechanisms of brain damage from status epilepticus. Epilepsia 1993; 34 (S1): S37–S53.

    Article  PubMed  Google Scholar 

  • Varelas P and Mirski MA. Seizures in the ICU. J. Neurosurg. Anesthesiol. 2001; 13: 163–175.

    Article  PubMed  CAS  Google Scholar 

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Authors
  1. Marek A. Mirski
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Editors and Affiliations

  1. Neurosciences Critical Care Unit, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Anish Bhardwaj MD (Associate Professor of Neurology, Vice Chairman, Co-Director, Staff Attending), Marek A. Mirski MD, PhD (Associate Professor of Anesthesiology, Director, Chief, Staff Attending) & John A. Ulatowski MD, PhD, MBA (Professor of Anesthesiology, Associate Professor of Neurology and Neurological Surgery, Chairman, Staff Attending) (Associate Professor of Neurology, Vice Chairman, Co-Director, Staff Attending),  (Associate Professor of Anesthesiology, Director, Chief, Staff Attending) &  (Professor of Anesthesiology, Associate Professor of Neurology and Neurological Surgery, Chairman, Staff Attending)

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© 2004 Springer Science+Business Media New York

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Mirski, M.A. (2004). Status Epilepticus. In: Bhardwaj, A., Mirski, M.A., Ulatowski, J.A. (eds) Handbook of Neurocritical Care. Current Clinical Neurology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-772-7_15

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  • DOI: https://doi.org/10.1007/978-1-59259-772-7_15

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-58829-078-6

  • Online ISBN: 978-1-59259-772-7

  • eBook Packages: Springer Book Archive

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