The clinical features, diagnosis, and prognosis of nonconvulsive status epilepticus

The clinical features, diagnosis, and prognosis of nonconvulsive status epilepticus
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DOI:
10.1097/01.nrl.0000162954.76053.d2
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发表时间:
2005-11-01
期刊:
影响因子:
1.2
通讯作者:
Kaplan, PW
Kaplan, PW
中科院分区:
医学4区
文献类型:
--
作者:
Kaplan, PW

文献摘要

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非惊厥性癫痫持续状态(NCSE)是一种持续发作活动至少30分钟的状态,伴有认知或行为变化,但无惊厥临床表现。需要脑电图来确认。它已被分类为具有局灶性或全身性EEG癫痫活动的组;并根据病因和意识水平(可预测结果)进行分类。争论的焦点包括什么构成NCSE的不断发展的定义,延迟,漏诊或误诊的各种原因,以及这些条件的最佳管理。
Nonconvulsive status epilepticus (NCSE) is a state of ongoing seizure activity for at least 30 minutes, with cognitive or behavioral changes, but without convulsive clinical manifestations. It requires EEG for confirmation. It has been categorized into groups having focal or generalized EEG epileptic activity; and by etiology and level of consciousness (which predict outcome). Points of contention include the evolving definition of what constitutes NCSE, various reasons for a delayed, missed, or misidentified diagnosis, and the optimal management of these conditions.