Status Epilepticus
Conditions
Brief summary
Non convulsive status epilepticus is a persistent change in behavioural and or mental process from baseline associated with continuous epileptiform activity in electroencephalograph,it occur in about 50 percent in patients with coma and convulsions and in 8-13 percent in intensive care unit patients
Detailed description
Early recognition and treatment of non convulsive status epilepticus are essential to optimize response to treatment and to prevent neurological sequelae, over diagnosis and aggressive use of anticonvulsants can contribute to morbidity and mortality.It displays great diversity in response to anticonvulsants,therefore treatment in intensive care units is required for selected cases .The aetiology and clinical forms are strong predictors for the overall prognosis.Treatment is poorly understood and follows the standard regimen for convulsive status epilepticus
Interventions
Electroencephalograph will be done to all patients who fulfill the inclusion criteria to detect presence of electrical discharge with in the brain.Complete blood count ,liver function test ,kidney function test ,blood glucose level and serum electrolytes will be done to selected cases according to the clinical presentation
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who have generalized tonic colonic convulsions and prolonged post ictal state more than 30 minutes * patients presented with un explained psychic or speech disorder * patients presented with stupor or confusion * Patients presented with un explained coma
Exclusion criteria
* patients with progressive neurological disease * Patients with severe cerebral anoxia * Patients with liver or hepatic impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of cured patients | An average of 1 year | Number of cured patients |
Countries
Egypt