Introduction-how status epilepticus is caused

Karthik Rajasekaran, Howard P. Goodkin

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Status epilepticus (SE) is a term used to describe a prolonged, self-sustained seizure that may have overt, subtle, or no behavioral manifestations typically in association with a persistent ictal electroencephalographic (EEG) pattern. Given that patients who present in either convulsive or non-convulsive forms of SE are at risk for death or subsequent neurological morbidity, all forms of SE are considered a neurological emergency. Factors identified as potentially increasing the risk of mortality and morbidity include certain etiologies, age >60 years, and increasing seizure duration. Seizure duration is the most easily effected on presentation, and the prompt and early termination of SE is of utmost importance in improving outcome. Prompt, early termination is also important as the effectiveness of current first-line therapies is inversely related to seizure duration. Clinical overview Definition and classification Status epilepticus can present in many forms but there is currently no single well-accepted, precise definition or classification system for SE. Widely used clinical definitions include non-specific terminology such as a “seizure of sufficient length of time or is repeated frequently enough to produce a fixed or enduring epileptic condition” (Gastaut 1983) or “a seizure that shows no clinical signs of arresting after a duration encompassing the great majority of seizures of that type in most patients or recurrent seizures without resumption of baseline central nervous system function” (ILAE 1989).

Original languageEnglish (US)
Title of host publicationThe Causes of Epilepsy
Subtitle of host publicationCommon and Uncommon Causes in Adults and Children
PublisherCambridge University Press
Pages723-729
Number of pages7
ISBN (Electronic)9780511921001
ISBN (Print)9780521114479
DOIs
StatePublished - Jan 1 2011

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Rajasekaran, K., & Goodkin, H. P. (2011). Introduction-how status epilepticus is caused. In The Causes of Epilepsy: Common and Uncommon Causes in Adults and Children (pp. 723-729). Cambridge University Press. https://doi.org/10.1017/CBO9780511921001.106