Abstract epileptic status ee is the most frequent neurological emergency. In status epilepticus seizures appear in close succession or dont stop. Recently there has been advances in the understanding of its physiopa. It represents a frequently medical emergency with elevated costs and high morbimortality. It is mostly found in intensive care units and carries high mortality but good longterm prognosis for those who survive. Status epilepticus is a medical and neurologic emergency that requires prompt evaluation and treatment. Pediatric intensive care treatment of uncontrolled status epilepticus, crit care clin 29 20 239257 25. More than 25 articles about status epilepticus published in 2018. Abstract refractory status epilepticus is defined as a condition in which seizures persist despite treatment with. Consensus protocol for the treatment of superrefractory. This clinical case illustrates the diversity of scenarios in which the syndrome may appear, with particular emphasis on patients defractario refractory status epilepticus, who due to the difficulty in their management require multiple revractario and among them may require propofol in doses that often exceed those recommended, which requires continuous.
The most frequent cause in epileptic patients is drug change or noncompliance and in the nonepileptic patients are cerebrovascular diseases, head trauma, drug. Anj approach to therapy in this difficult clinical situation. A convulsive status in infants is usually triggered. Revision del estado epileptico convulsivo pediatrico y su. Guidelines for the evaluation and management of status. The outcome of therapies in refractory and super refractory convulsive status epilepticus and. Pediatric intensive care treatment of uncontrolled status epilepticus, crit care clin 29 20 239257 26. Its identification and treatment continues to be a challange due to its high morbidity and mortility rate. Unfortunately, there is still no consensus on several of its aspects, from its definition to its treatment. Status epilepticus is a major public health problem along the world. Status epilepticus status epilepticus is a neurological emergency that requires prompt care. Superrefractory status epilepticus solved with therapeutic hypothermia. There are several definitions of status epilepticus and classifications by etiology, seizure type and response to therapy.
The prognosis depends on the duration and the phase in which the appropriate treatment is, age, ethiology, comorbidities and complications. It is a serious condition that requires prompt medical attention. The administration of rescue medication to children with prolonged acute convulsive seizures in refraxtario community. The diagnosis and treatment must be continuous from the first minutes to its resolution. The most frequent cause in epileptic patients is drug change or noncompliance and in the nonepileptic patients are cerebrovascular diseases, head trauma, drug toxicity and metabolic. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Status epilepticus international league against epilepsy. It can occur in the context of epilepsy or it can be symptomatic of a wide range of underlying etiologies. Refractory status epilepticus rse is defined as the absence of response to a firstline antiepileptic drug benzodiazepines and to one or two secondline epilepyico. Estado epileptico superrefractario resuelto con hipotermia terapeutica. Pediatric refractory and superrefractory status epilepticus, seizure.
The outcome of therapies in refractory and super refractory convulsive status epilepticus and recommendations for therapy. Causes, prognoses, and treatments differ, and optimal evaluation and treatment requires an. Refractory status epilepticus is defined as a condition in which seizures persist despite treatment with benzodiazepines and other antiepileptic drugs, and super refractory status as one in which seizures persist after the use of anesthetic agents for more than 24 hours. Super refractory status epilepticus is defined as status epilepticus that persists or recurs 24 hours after anaesthetic therapy onset or after its withdrawal. Another concept to highlighted is the suspicion in severe.
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