Status Epilepticus
Year: 2016
Type: book-chapter
Abstract: In this chapter we will review the diagnosis, detection, prevention, and management of seizures and status epilepticus in critically ill patients. In the last decade, it has become increasingly evident that the brain is not an innocent bystander in the effects of critical illness. Patients in surgical ICUs commonly have neurologic sequelae, which often manifest as a change in mental status with or without focal. Seizures and status epilepticus are common among ICU-related complications, although large prospective epidemiologic studies are lacking. Status epilepticus is a common neurological emergency with substantial morbidity, mortality, and cost. Unfortunately, the majority of seizures and status epilepticus in the critically ill are nonconvulsive, with little or no overt clinical manifestations to reflect ongoing ictal activity, thus requiring continuous EEG (cEEG) monitoring for detection. The early recognition and management of seizures and status epilepticus are crucial as delay in treatment is associated with worse outcomes. Using the available literature, this chapter will review the diagnosis, detection, prevention, and management of seizures and status epilepticus relevant to patients admitted to the surgical intensive care unit.
Source: Springer eBooks
Authors: Emily J. Gilmore, Emad Nourollahzadeh
Institutions: Yale New Haven Hospital, Yale University
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4245463368