Outcome of status epilepticus in Srinagarind Hospital
Tiamkao, S.; Suko, P.; Mayurasakorn, N.
Journal of the Medical Association of Thailand 93(4): 420-423
2010
ISSN/ISBN: 0125-2208 PMID: 20462083 Document Number: 13888
Status epilepticus (SE) is one of the common neurological emergencies in adults and for which morbidity and mortality are high and associated with either inappropriate management or underlying diseases. Forty SE patients were included (23 men; 17 women) between 18 and 86 years of age. Generalized convulsive status epilepticus (GCSE) was most common (34 events, 85%) vs. non-convulsive status epilepticus (NCSE) (6 events, 15%). Nineteen patients (47.5%) had previously diagnosed neurological disorders. Antiepileptic drug withdrawal, encephalitis and alcohol-related illness were the common causes of SE. Thirteen patients (32.5%) developed refractory status epilepticus. Improper management was found in 23 events (57.5%). Outcomes of SE included death (14, 35%), complete recovery (14, 35%) and partial recovery (12, 30%). Of the patients who experienced improper management 43.5% died over against the 23.5% who died despite proper management. To improve the outcome of SE, a public information campaign on the management ofSE is needed
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