Non-convulsive Status Epilepticus (NCSE) is an under reported, treatable cause of coma and has variety of clinical and EEG presentations. It is defined as a mental status with changes from base line of at least 30 -60 minutes duration associated with continuous or near continuous ictal discharges on EEG [1].Stroke is known to be a common risk factor for status epilepticus (SE) in adults [2,3] and has been reported in 22-32% of cases in different studies [4,5]. Recent studies have found slightly higher rates such as 14-27% in patients with cerebrovascular disease [6][7][8] and 17% in patients with intracerebral hemorrhage [9]. Nonconvulsive Status Epilepticus (NCSE) was originally described in patients with chronic epilepsy, but it's now recognized with increased frequency in other patient populations, especially the critically ill. The International League Against Epilepsy (ILAE) defines status epilepticus as a condition resulting either from the failure of the mechanisms responsible for seizure termination or from the initiation of mechanisms that lead to abnormally prolonged seizures [10].Nonconvulsive status epilepticus is surprisingly common, occurring in 8-10% of comatose patients in intensive care units [1,11] and in 37% of patients with unexplained alteration of consciousness [12]. Other studies showed that in the Neurologic Intensive Care Unit, up to 34% of patients undergoing EEG monitoring have nonconvulsive seizures (NCS), and 76% of these cases are nonconvulsive SE [13]. Even after excluding all patients
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