Non-convulsive status epilepticus: Mimics and chameleons

Michael Owen Kinney, John J. Craig, P. W. Kaplan

Research output: Contribution to journalReview articlepeer-review

Abstract

Non-convulsive status epilepticus (NCSE) is an enigmatic condition with protean manifestations. It often goes unrecognised, leading to delays in its diagnosis and treatment. The principal reason for such delay is the failure to consider and request an electroencephalogram (EEG), although occasional presentations have no scalp or surface electroencephalographic correlate. In certain settings with limited EEG availability, particularly out-of-hours, clinicians should consider treating without an EEG. Patients need a careful risk-benefit analysis to assess the risks of neuronal damage and harm versus the risks of adverse effects from various intensities of therapeutic intervention. Specialists in EEG, intensive care or epilepsy are invaluable in the management of patients with possible NCSE.

Original languageEnglish (US)
Pages (from-to)291-305
Number of pages15
JournalPractical Neurology
Volume18
Issue number4
DOIs
StatePublished - Aug 1 2018

Keywords

  • intensive care
  • nonconvulsive status epilepticus
  • status epilepticus

ASJC Scopus subject areas

  • Clinical Neurology

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