Non-Convulsive Status Epilepticus (NCSE) in ICU
Epilepsy is a neurological disorder characterized by recurrent epileptic seizures. Non-convulsive status epilepticus (NCSE) is defined as a persistent change in mental status as opposed to the previous conditions, lasted at least 30 minutes long, associated with continuous spike wave epileptiform E...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-02-01
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| Series: | Bali Journal of Anesthesiology |
| Subjects: | |
| Online Access: | https://bjoa.balijournals.org/index.php/bjoa/article/view/5 |
| _version_ | 1829530861411762176 |
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| author | Made Wiryana I Ketut Sinardja I Wayan Aryabiantara Tjokorda GdeAgung Senapathi I Made Gede Widnyana I Gusti Agung Gede Utara Hartawan Pontisomaya Parami Christopher Ryalino Adinda Putra Pradhana |
| author_facet | Made Wiryana I Ketut Sinardja I Wayan Aryabiantara Tjokorda GdeAgung Senapathi I Made Gede Widnyana I Gusti Agung Gede Utara Hartawan Pontisomaya Parami Christopher Ryalino Adinda Putra Pradhana |
| author_sort | Made Wiryana |
| collection | DOAJ |
| description | Epilepsy is a neurological disorder characterized by recurrent epileptic seizures. Non-convulsive status epilepticus (NCSE) is defined as a persistent change in mental status as opposed to the previous conditions, lasted at least 30 minutes long, associated with continuous spike wave epileptiform EEG changes. Clinical manifestation of NCSE can present as confusion, personality changes, psychosis, and coma. Indeed NCSE prognosis is dependent on the underlying etiology of persistent EEG changes of. Preferred medication is focus on improving its fundamental pathological changes, such as metabolic disorders, infection, drugs toxicity, and immediate pharmacological treatment. Intravenous benzodiazepine is recommended asthe first drug of choice for NCSE and early recognition of treatment response can help to establish the diagnosis. This patient has a good outcome which was influenced with short ictal period from the first episode upon arrival on reffered hospital, good initial response and management on emergency department, a conduct and thorough ICU monitoring, as well as the effective treatment response. |
| first_indexed | 2024-12-16T18:09:53Z |
| format | Article |
| id | doaj.art-2e0462f4307f43ad98edb85f952ef99a |
| institution | Directory Open Access Journal |
| issn | 2549-2276 |
| language | English |
| last_indexed | 2024-12-16T18:09:53Z |
| publishDate | 2017-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj.art-2e0462f4307f43ad98edb85f952ef99a2022-12-21T22:21:48ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762017-02-0111202410.15562/bjoa.v1i1.55Non-Convulsive Status Epilepticus (NCSE) in ICUMade Wiryana0I Ketut Sinardja1I Wayan Aryabiantara2Tjokorda GdeAgung Senapathi3I Made Gede Widnyana4I Gusti Agung Gede Utara Hartawan5Pontisomaya Parami6Christopher Ryalino7Adinda Putra Pradhana8Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaDepartment of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, IndonesiaEpilepsy is a neurological disorder characterized by recurrent epileptic seizures. Non-convulsive status epilepticus (NCSE) is defined as a persistent change in mental status as opposed to the previous conditions, lasted at least 30 minutes long, associated with continuous spike wave epileptiform EEG changes. Clinical manifestation of NCSE can present as confusion, personality changes, psychosis, and coma. Indeed NCSE prognosis is dependent on the underlying etiology of persistent EEG changes of. Preferred medication is focus on improving its fundamental pathological changes, such as metabolic disorders, infection, drugs toxicity, and immediate pharmacological treatment. Intravenous benzodiazepine is recommended asthe first drug of choice for NCSE and early recognition of treatment response can help to establish the diagnosis. This patient has a good outcome which was influenced with short ictal period from the first episode upon arrival on reffered hospital, good initial response and management on emergency department, a conduct and thorough ICU monitoring, as well as the effective treatment response.https://bjoa.balijournals.org/index.php/bjoa/article/view/5epilepsy, non-convulsive status epilepticus, mental status changes, EEG, benzodiazepines. |
| spellingShingle | Made Wiryana I Ketut Sinardja I Wayan Aryabiantara Tjokorda GdeAgung Senapathi I Made Gede Widnyana I Gusti Agung Gede Utara Hartawan Pontisomaya Parami Christopher Ryalino Adinda Putra Pradhana Non-Convulsive Status Epilepticus (NCSE) in ICU Bali Journal of Anesthesiology epilepsy, non-convulsive status epilepticus, mental status changes, EEG, benzodiazepines. |
| title | Non-Convulsive Status Epilepticus (NCSE) in ICU |
| title_full | Non-Convulsive Status Epilepticus (NCSE) in ICU |
| title_fullStr | Non-Convulsive Status Epilepticus (NCSE) in ICU |
| title_full_unstemmed | Non-Convulsive Status Epilepticus (NCSE) in ICU |
| title_short | Non-Convulsive Status Epilepticus (NCSE) in ICU |
| title_sort | non convulsive status epilepticus ncse in icu |
| topic | epilepsy, non-convulsive status epilepticus, mental status changes, EEG, benzodiazepines. |
| url | https://bjoa.balijournals.org/index.php/bjoa/article/view/5 |
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