DIAGNOSIS AND MANAGEMENT OF NONCONVULSIVE STATUS EPILEPTICUS (NCSE)

Fathia Annis Pramesti, Machlusil Husna, Shahdevi Nandar Kurniawan, Masruroh Rahayu
  MNJ, pp. 30-38  

Abstract


Status epilepticus is an emergency condition in the field of neurology are often undiagnosed and are associated with high mortality and long-term disability. One type of status epilepticus is nonconvulsive status epilepticus (NCSE) in which the diagnosis of NCSE is very difficult because the clinical manifestations appear is agitation or confusion, nystagmus or bizarre behavior such as lip smacking or take goods in the air.
The diagnosis was based on clinical features, especially the mental status or the disrupted of consciousness and the changes in the EEG. Diagnosis of NCSE is an important first step, which can avoid the delay in therapy in order to prevent irreversible brain damage. Treatment is by administering benzodiazepines and antiepileptic drugs, while the prognosis is determined by the etiology and associated with brain damage there.

Keywords


Status epilepticus; nonconvulsive status epilepticus; diagnosis NCSE; therapy NCSE

Full Text:

PDF

References


Manno, Edward M. New Management Strategies in the Treatment of Status Epilepticus. 2003.

Hageman G, Zinke J, Von Oersen TJ. Status Epileptikus. The Open Critical Care Medicine Journal. 2011; 4: 15-23.

Murthy JM. Nonconvulsive Status Epilepticus: An Under Diagnosed and Potentially Treatable Condition. Vol. 51, Issue 4, Page 453-454. Hyderabad. 2003.

Ibanez, Gomez. Urrestarazu E, Viteri. Nonconvulsive Status Epilepticus in the 21st century: clinical characteristic, diagnosis, treatment and prognosis. Rev. Neurology. Spanyol. 2012.

Ziai, Wendy C. Kaplan, Peter W. Seizures and Status Epilepticus in the Intensive Care Unit. New York. 2008.

Shorvon, Simon. The Classification of Nonconvulsive Status Epilepticus. Nonconvulsive Status Epilepticus chapter 3. 2009.

Adiga, Rashmi. Nonconvulsive Status Epilepticus in Children. ANCR. Singapore. Vol 12. Number 1. 2012.

Chang AK, Shinnar S. Nonconvulsive Status Epilepticus emergency Medicine. Clinical Neurology. 2011, Feb; 29 (1) : 65-72

Ruegg, S. Nonconvulsive Status Epilepticus in adults: an overview. Schweizer Archiv fur Neurologie und Psychiatrie. Vol 159. Note (s) : 53-83. P.31. 2008.

O’Dell, Casey M. Arabinda D. Understanding the Basic Mechanism Seizure in Mesial Temporal Lobe Epilepsy and Possible Therapeutic Target: A Review. Journal of Neuroscience Research. 2012, 90: 913-924.

Upreti C, Otero R, Partida C. Altered Neurotransmitter Release, Vesicle Recycling and Presynaptic Structure in the Pilocarpine Model of Temporal Lobe Epilepsy. Brain. 2012; 135 (pt 3): 869-885.

Chen, James WY. Wasterlain, Claude G. Status Epilepticus: Pathophysiology and Management in Adults. 2006.

Panayiotopoulos, CP. The Epilepsies Seizures, Syndromes and Management. Bladon Medical Publishing. 2005. Brigo F. Nonconvulsive Status Epilepticus: The Diagnosis Dilemma. Neurologi India. 2013; 61:3-6.

Korff, CM. Nordli DR. Diagnosis and Management of Nonconvulsive Status Epilepticus in Children. Switzerland. Vol. 3. No. 9. 2007.

Drislane, Frank W. Presentation, Evaluation and Treatment of Nonconvulsive Status Epilepticus. Massachusetts. 2000.

Herman, Susan T. The Electroencephalogram of Nonconvulsive Status Epilepticus. Nonconvulsive Status Epilepticus chapter 4. 2009.

NICE Protocol for Treating Status Epilepticus in Adults and Children. 2003.

Walker. Principles of Treatment of Nonconvulsive Status Epilepticus. Nonconvulsive Status Epilepticus chapter 20. 2009.


Refbacks

  • There are currently no refbacks.