Seizures and Status Epilepticus in the Critically Ill

Marek A. Mirski, Panayiotis N. Varelas

Research output: Contribution to journalReview article

Abstract

Seizures represent stereotypic electroencephalographic (EEG) and behavioral paroxysms as a consequence of electrical neurologic derangement. Seizures are usually described as focal or generalized motor convulsions; however, nonconvulsive seizures that occur in the absence of motor activity may escape clinical detection. Because of the admission diagnoses and dramatic physiologic and metabolic derangements common to critically ill patients, the entire spectrum of seizure disorders may be encountered in the ICU. Seizures in the ICU are attributable to primary neurologic pathology or secondary to critical illness and clinical management. For optimal treatment, early diagnosis of the seizure type and its cause is important to ensure appropriate therapy. Convulsive status epilepticus requires emergent treatment before irreversible brain injury and severe metabolic disturbances occur.

Original languageEnglish (US)
Pages (from-to)115-147
Number of pages33
JournalCritical Care Clinics
Volume24
Issue number1
DOIs
StatePublished - Jan 1 2008

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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