Generalized Convulsive Status Epilepticus in Adults and Children: Treatment Guidelines and Protocols

Shearer, P.; Riviello, James J.

doi:10.1016/j.emc.2010.08.005

Cited by 49 publications

(26 citation statements)

References 57 publications

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“…Contiene un agregado del grupo fosforil que hace que sea soluble, y con menor pH (17), La fosfenitoína se convierte a fenitoína entre 8 a 15 minutos de administrada y es metabolizada por el hígado (15). La dosis es equivalente a la de la fenitoína.…”

Section: Fosfenitoínaunclassified

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Actualización en el manejo del estado epiléptico.

Villafuerte-Espinoza¹,

Toro²,

Burneo³

2013

Rev Neuropsiquiatr

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RESUMENEl Estado Epiléptico (EE) es una emergencia médica, que requiere intervención de forma inmediata para disminuir la morbimortalidad asociada. Esta incluye el uso de medidas de soporte vital, y un tratamiento específico cuyo objetivo es detener todas las crisis ya sean clínicas o electrográficas y prevenir su recurrencia. En el presente manuscrito revisamos lo más relevante del tratamiento farmacológico en cada estadío del EE y las medidas generales concomitantes, para un manejo adecuado. PALABRAS CLAVE:Crisis epilépticas, crisis refractarias, epilepsia, estado epiléptico, tratamiento. ABSTRACTStatus Epilepticus is a medical emergency requiring immediate intervention to decrease morbidity and mortality. This includes the use of life support measures and specific treatment aimed at stopping all crises either clinical or electrographic and prevents its recurrence. In this manuscript we review the most relevant of drug treatment at each stage of the Status Epilepticus and the concomitant general measures for proper management.

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Section: Fosfenitoínaunclassified

“…Puede ser usado en pacientes con EE mioclónico o de ausencia en vista de su acción farmacodinámica (6,17). En los últimos 10 años se ha mostrado que el valproato parece ser tan efectivo como la fenitoína o fosfenitoína en quienes no respondieron a las benzodiazepinas (8).…”

Section: Valproatounclassified

Actualización en el manejo del estado epiléptico.

Villafuerte-Espinoza¹,

Toro²,

Burneo³

2013

Rev Neuropsiquiatr

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“…These tools guide the clinician from the suspected seizure event, to the diagnosis, and the planning phase of care. [30] Seizure management tools are available for clinicians whose patients have intractable seizures, resistant to common treatment options. These pathways assist in determining the underlying cause of the epilepsy.…”

Section: Literature Reviewmentioning

confidence: 99%

Telephone triage and seizure management for community-based ID/DD: A research synthesis

Auberry

Cullen²,

Luna³

2017

JNEP

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Nurse and physician clinicians often guide seizure care for individuals with intellectual and developmental disability (ID/DD) through telephone triage. This article evaluated the evidence for epilepsy management tools with a focus on the telephone triage tool. Studies were included in the systematic review, data was extracted, followed by meta-aggregated findings. A rigorous methodological protocol was used as described by The Cochrane Collaboration. All quantitative or descriptive studies that included epilepsy management tools or protocols for persons with ID/DD living in a community-based setting were considered. No tools specific to ID/DD seizure management via telephone triage were discovered. Study results reveal a possible gap in clinical care. Research findings did support the use of telephone triage tools and epilepsy protocols for clinicians. These findings may improve seizure management by focusing ID/DD clinicians on the advantages of using such tools. Findings may also illuminate the need for seizure management tools specific to the ID/DD population.

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“…Epileptic seizures were managed with intravenous diazepam, phenytoin sodium and valproic acid according to the guidelines. [16] Patient 3 underwent a caesarean section under general anesthesia and was intubated for 4 days because of insufficient spontaneous breathing after cardiopulmonary arrest at the time of admission. During the intubation period this patient received propofol and midazolam infusions to control her epileptic seizures.…”

Section: Definitionsmentioning

confidence: 99%

“…[13,14] Early seizures have been defined as those first occurring within 2 weeks after stroke. [13,14] Epilepsi 2014;20(1): [11][12][13][14][15][16] tonic NaCl solutions. Epileptic seizures were managed with intravenous diazepam, phenytoin sodium and valproic acid according to the guidelines.…”

Section: Definitionsmentioning

confidence: 99%

Epileptic Seizures Related to Cerebral Venous Sinus Thrombosis: Clinicoradiological Findings and Cases of Delayed Diagnosis.

Huseyinoglu¹,

Ozlece²,

Hüseyınoğlu³

et al. 2014

Epilepsi

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Amaç: Çalışmamızda, epileptik nöbet ve status epileptikus gelişen serebral venöz sinus trombozlu hastaların klinik ve radyolojik özellikleri ile yanlış veya gecikmiş tanı nedenlerini sunmayı amaçladık. Gereç ve Yöntem:Çalışmaya Kasım 2012-Kasım 2013 tarihleri arasında yoğun bakım ünitesinde epileptik nöbet veya status epileptikus ile takip edilen ve serebral venöz tromboz tanısı alan dokuz hasta alındı. Tüm hastaların ayrıntılı nörolojik ve oftalmolojik muayeneleri ve elektroensefalografi, kranial tomografi, manyetik rezonans görüntüleme ve manyetik rezonans venografileri yapıldı. Ayrıca daha önceki nöropsi-kiyatrik hastalık öyküleri, başvuru semptomları, başvurdukları hekim branşları ve tedavi protokolleri kaydedildi. Bulgular: Tüm hastalarda hastaneye başvuru esnasında en önemli semptom baş ağrısı idi. Tüm hastalar subakut bir progresyon göstermişlerdi. Beş hastada konvulsif ve bir hastada nonkonvulsif status epileptikus tablosu gelişti. Altı hasta nöbet ile başvurmuştu (nöbetler hasta tanı almadan önce oluşmuştu). Beş ve altı numaralı hastalar dışında tüm hastalarda superior sagittal sinüs etkilenmişti. Hastaların ön tanılarından bazıları arasında eklampsi, dissosiyatif bozukluk, subaraknoid hemoraji, migren ve psikiyatrik hastalıklar yer almakta idi.Sonuç: Çok farklı klinik tablolar ile presente olan serebral venöz trombus hastalarının bulguları özellikle psikiyatrik hastalıklar ile benzerlik göstermektedir. Bu nedenle tanı ve tedavide gecikmeler yaşanabilmekte ve bu durum nöbetler ve özellikle status epileptikus gibi ciddi tablolara yol açabilmektedir. Anahtar sözcükler: Serebral venöz sinüs trombozu; tanı; nöbet.

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Generalized Convulsive Status Epilepticus in Adults and Children: Treatment Guidelines and Protocols

Cited by 49 publications

References 57 publications

Actualización en el manejo del estado epiléptico.

Actualización en el manejo del estado epiléptico.

Telephone triage and seizure management for community-based ID/DD: A research synthesis

Epileptic Seizures Related to Cerebral Venous Sinus Thrombosis: Clinicoradiological Findings and Cases of Delayed Diagnosis.

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