Complex partial status epilepticus: Difference between revisions
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== Diagnosis == | == Diagnosis == | ||
As is the case with other non-convulsive status epilepticus forms, CPSE is often underdiagnosed.<ref>{{cite journal |author=Murthy JM |title=Nonconvulsive status epilepticus: An under diagnosed and potentially treatable condition |journal=Neurology India |volume=51 |issue=4 |pages=453-4 |year=2003 |url=http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2003;volume=51;issue=4;spage=453;epage=454;aulast=Murthy}}</ref> This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an Electroencephalogram, or EEG, is needed to confirm a neurologist's suspicions. The EEG is also needed to differentiate between absence status epilepticus (which affects the entire brain), and CPSE, which only affects one region.<ref>{{cite journal |author=Husain AM, Horn GJ, Jacobson MP |title=Non-convulsive status epilepticus: usefulness of clinical features in selecting patients for urgent EEG |journal=J. Neurol. Neurosurg. Psychiatr. |volume=74 |issue=2 |pages=189-91 |year=2003 |pmid=12531946 |doi= |url=http://jnnp.bmj.com/cgi/content/abstract/74/2/189}}</ref> | As is the case with other non-convulsive status epilepticus forms, CPSE is often underdiagnosed.<ref>{{cite journal |author=Murthy JM |title=Nonconvulsive status epilepticus: An under diagnosed and potentially treatable condition |journal=Neurology India |volume=51 |issue=4 |pages=453-4 |year=2003 |url=http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2003;volume=51;issue=4;spage=453;epage=454;aulast=Murthy}}</ref> This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an [[Electroencephalogram]], or [[EEG]], is needed to confirm a neurologist's suspicions. The EEG is also needed to differentiate between absence status epilepticus (which affects the entire brain), and CPSE, which only affects one region.<ref>{{cite journal |author=Husain AM, Horn GJ, Jacobson MP |title=Non-convulsive status epilepticus: usefulness of clinical features in selecting patients for urgent EEG |journal=J. Neurol. Neurosurg. Psychiatr. |volume=74 |issue=2 |pages=189-91 |year=2003 |pmid=12531946 |doi= |url=http://jnnp.bmj.com/cgi/content/abstract/74/2/189}}</ref> | ||
== Treatment == | == Treatment == | ||
Revision as of 19:26, 25 January 2009
| Complex partial status epilepticus | |
| ICD-10 | G41.2 |
|---|---|
| eMedicine | neuro/114 |
| MeSH | D013226 |
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Overview
Complex Partial Status Epilepticus (CPSE) is one of the non-convulsive forms of Status epilepticus, a rare form of epilepsy defined by its recurrent nature. CPSE is characterized by seizures involving long-lasting stupor, staring and unresponsiveness.[1] Sometimes this is accompanied by motor automatisms, such as eye twitching.[2]
Diagnosis
As is the case with other non-convulsive status epilepticus forms, CPSE is often underdiagnosed.[3] This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an Electroencephalogram, or EEG, is needed to confirm a neurologist's suspicions. The EEG is also needed to differentiate between absence status epilepticus (which affects the entire brain), and CPSE, which only affects one region.[4]
Treatment
Treatment includes anti-epileptic drugs, such as barbituates, benzodiazepines and topiramate.
References
- ↑ neuro/114 at eMedicine
- ↑ Fernández-Torre JL, Gutiérrez-Pérez R, Velasco-Zarzosa M (2003). "Non-convulsive status epilepticus". Revista de neurologia (in Spanish; Castilian). 37 (8): 744–52. PMID 14593634.
- ↑ Murthy JM (2003). "Nonconvulsive status epilepticus: An under diagnosed and potentially treatable condition". Neurology India. 51 (4): 453–4.
- ↑ Husain AM, Horn GJ, Jacobson MP (2003). "Non-convulsive status epilepticus: usefulness of clinical features in selecting patients for urgent EEG". J. Neurol. Neurosurg. Psychiatr. 74 (2): 189–91. PMID 12531946.