Seizures and the Neurosurgical Intensive Care Unit

Panayiotis N. Varelas, Marianna V. Spanaki, Marek A. Mirski

Research output: Contribution to journalReview articlepeer-review

Abstract

The cause of seizures in the neurosurgical intensive care unit (NICU) can be categorized as emanating from either a primary brain pathology or from physiologic derangements of critical care illness. Patients are typically treated with parenteral antiepileptic drugs. For early onset ICU seizures that are easily controlled, data support limited treatment. Late seizures have a more ominous risk for subsequent epilepsy and should be treated for extended periods of time or indefinitely. This review ends by examining the treatment algorithms for simple seizures and status epilepticus and the role newer antiepileptic use can play in the NICU.

Original languageEnglish (US)
Pages (from-to)393-406
Number of pages14
JournalNeurosurgery clinics of North America
Volume24
Issue number3
DOIs
StatePublished - Jul 2013

Keywords

  • Antiepileptic drugs
  • Neurosurgical intensive care unit
  • Seizures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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