Clinical significance and outcome of subclinical status epilepticus in adults
| Autor: | Peter A. Ahmann, Sue K. Trudeau, Max R. Trenerry, Elson L. So, Kevin H. Ruggles, Karen J. Weatherford |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Pediatrics
medicine.medical_specialty medicine.diagnostic_test business.industry General Neuroscience Medical record Status epilepticus Subclinical seizure Electroencephalography medicine.disease Eeg patterns Epilepsy Anesthesia medicine Clinical significance Neurology (clinical) medicine.symptom business Subclinical infection |
| Zdroj: | Journal of Epilepsy. 8:11-15 |
| ISSN: | 0896-6974 |
| DOI: | 10.1016/0896-6974(94)00003-i |
| Popis: | We reviewed the medical records and the EEGs of all adults treated for status epilepticus (SE) in our center in 4 years. EEG detected subclinical SE in almost half (49%) of the 45 consecutive patients identified. Comparing patients with and those without subclinical SE, we noted that patients with subclinical SE were older ( p = 0.02) and more likely to have focal brain lesions ( p = 0.04). In the absence of focal brain lesions, subclinical SE was still more common in old adults ( p p = 0.001). Although 24% of all patients died in ⩽60 days, late mortality was not associated with subclinical SE ( p > 0.05). However, an association between late mortality and presence of focal brain lesions was suggested by a low p -value (0.053). Subclinical SE appeared on the EEG as frequent discrete seizure episodes in all but 3 patients. None of the patients had a progressive sequence of EEG patterns, as was reported in the literature. Initiation of treatment before EEG recording in most of our patients (82%) might have interrupted the sequential appearance of the EEG patterns. |
| Databáze: | OpenAIRE |
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