Absence Status Epilepticus Causing a Prolonged Acute Confusional State

Grin, Jennifer M.; DiMario, Francis J.

doi:10.1177/000992289803700106

Cited by 6 publications

(9 citation statements)

References 5 publications

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“…29 These patients generally respond promptly to a single dose of benzodiazepine, and the status epilepticus may not recur, even without subsequent treatment. A recently described syndrome of ring chromosome 20 is associated with repeated episodes of nonconvulsive status epilepticus.…”

Section: Nonconvulsive Status Epilepticus In the Patient With Alteredmentioning

confidence: 99%

“…Occasionally, a patient without a known history of epilepsy presents with altered mental status and is found to have nonconvulsive status epilepticus on electroencephalogram (EEG). 29 These patients generally respond promptly to a single dose of benzodiazepine, and the status epilepticus may not recur, even without subsequent treatment. A recently described syndrome of ring chromosome 20 is associated with repeated episodes of nonconvulsive status epilepticus.…”

Section: Electrographic Status Epilepticus Nonconvulsive Status Epilementioning

confidence: 99%

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Status Epilepticus and Acute Serial Seizures in Children

Mitchell

2002

J Child Neurol

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Status epilepticus is defined as a seizure that persists for a sufficient length of time or is repeated frequently enough to produce a fixed and enduring epileptic condition of 30 minutes or longer. Status epilepticus is a life-threatening condition that often occurs in children. The degree of mortality and neurologic morbidity, as well as the risk for recurrence, is highly dependent on the etiology and duration of the seizures. Although much has been written about pediatric status epilepticus, many issues remain unresolved. A better understanding of the different types of seizures and their etiologies may help in the prevention and treatment of status epilepticus. The vast extent of status epilepticus in both children and adults mandates that new options for prevention and treatment be given a close scrutiny and high priority. This article will review the most current information on convulsive and nonconvulsive status epilepticus, including the potential for neurologic damage, changes in magnetic resonance imaging after status epilepticus, risk for recurrence, and current treatment options available for treating status epilepticus in children.

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Section: Nonconvulsive Status Epilepticus In the Patient With Alteredmentioning

confidence: 99%

Section: Electrographic Status Epilepticus Nonconvulsive Status Epilementioning

confidence: 99%

Status Epilepticus and Acute Serial Seizures in Children

Mitchell

2002

J Child Neurol

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“…There are few reports about de novo AS in children who did not present previous epileptic seizures [8,9].…”

Section: Introductionmentioning

confidence: 99%

De novo Absence Status Epilepticus in a pediatric cohort: Electroclinical pattern in a multicenter Italian patients cohort

Pepi

Cesaroni

Striano

et al. 2019

Seizure

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“…Cases of early-onset TAS have been previously published (Caraballo et al, 2011;Giordano et al, 2013). De novo ASE has been reported more often in adult patients than in children (Agathonikou et al, 1998;Grin and DiMario, 1998;Genton et al, 2008;Bilo et al, 2014;Fisher et al, 2014;Adams et al, 2016;Paschen et al, 2016;Brigo et al, 2018). As to paediatric patients, our three patients and the only two children previously published in the literature (Grin and DiMario, 1998;Adams et al, 2016) had de novo ASE without experiencing absence seizures before the episode or during their follow-up, except for one (Grin and DiMario, 1998) who presented a typical absence event after the ASE.…”

Section: Discussionmentioning

confidence: 99%

De novo absence status epilepticus in three paediatric patients: a new idiopathic epilepsy syndrome?

Caraballo

Chacón²,

Fasulo

et al. 2018

Epileptic Disorders

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Aim. Absence status epilepticus (ASE) is a prolonged generalized absence seizure that usually lasts for hours and can even last for days. The main symptom is the altered content of consciousness while the patient may be alert and partly responsive. Methods. We describe the electroclinical features, treatment, and evolution of three paediatric patients with de novo ASE with an excellent response to valproic acid (VPA). Results. Three paediatric patients presented with non‐convulsive status epilepticus and an acute confusional state with impaired consciousness and EEG abnormalities compatible with typical ASE, associated with generalized spike‐and‐wave paroxysms at 2.5‐4 Hz, as the first epileptic manifestation at eight, three, and nine years of age, respectively. No significant personal and/or family history was reported. None of the patients had absence seizures or any other type of seizure before the occurrence of the ASE. All of them responded well to VPA and had a benign disease course. Neuroradiological imaging was normal in all patients. These three cases presented with ASE as the first manifestation of their epilepsy; none of them had any other type of seizure before the event or during their follow‐up, which was long‐term in one. All patients had an excellent response to VPA. Conclusions. Our three cases presented with generalized typical ASE as the first manifestation of their epilepsy. De novo ASE might be considered as a well‐defined idiopathic epilepsy syndrome or a variant of an idiopathic generalized epilepsy syndrome, such as a particular type or variant of childhood absence epilepsy.

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Absence Status Epilepticus Causing a Prolonged Acute Confusional State

Cited by 6 publications

References 5 publications

Status Epilepticus and Acute Serial Seizures in Children

Status Epilepticus and Acute Serial Seizures in Children

De novo Absence Status Epilepticus in a pediatric cohort: Electroclinical pattern in a multicenter Italian patients cohort

De novo absence status epilepticus in three paediatric patients: a new idiopathic epilepsy syndrome?

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