Management of patients with decompensation of epilepsy

Abstract

in the new definition of SE to the dynamics of the SE progression. The identification of acute symptomatic status epilepticus is of practical importance. Pathophysiological processes occurring in a patient with SE can be divided into two phases: compensation and decompensation. The article provides the recommendations developed for each stage of medical care rendered to a patient with SE. 38 patients hospitalized with epileptic seizures for the period from January 2017 to April 2018 received medical examination and treatment. 7 patients had to be managed in the intensive care unit (18.4%). 64.3% of patients received parenteral therapy with valproate, 28.5% with levetiracetam, 7.1% additional anaesthesia and a third of patients underwent therapy correction with tableted forms of antiepileptic drugs. The availability of drugs is an important economic indicator at the present stage of medical care. Valproates, prolonged forms, including ready-made solutions for intravenous administration, continue to be ranked number one.