계명대학교 의학도서관 Repository

Etiology and prognosis of non-convulsive status epilepticus

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Author(s)
Bong Su KangYunsook JhangYoung-Soo KimJangsup MoonJung-Won ShinHye Jin MoonSoon-Tae LeeKeun-Hwa JungKon ChuKyung-Il ParkSang Kun Lee
Keimyung Author(s)
Moon, Hye Jin
Department
Dept. of Neurology (신경과학)
Journal Title
Journal of Clinical Neuroscience
Issued Date
2014
Volume
21
Issue
11
Keyword
EtiologyNon-convulsive status epilepticusPrognosis
Abstract
Although non-convulsive status epilepticus (NCSE) is an important type of epilepsy, it is not often recognized. In order to analyze the clinical characteristics and outcome in patients with NCSE, we examined the medical records of patients with NCSE admitted to the Seoul National University Hospital between June 2005 and October 2008. The clinical details and electroencephalography records of 34 adult NCSE patients (aged over 16 years) were collected. Their mean age was 47 years (standard deviation 20 years, range, 16–87 years), and 20 were female. Twenty-seven patients (79.4%) showed decreased awareness with acute onset, and seven (20.6%) were obtunded or comatose. Ten patients (29.4%) had a history of epilepsy, and four (11.8%) had a history of stroke. NCSE was etiologically attributed to acute medical or neurological problems in 25 patients (73.5%), was cryptogenic in three (8.8%), and was secondary to underlying epilepsy in six (17.7%). Acute symptomatic etiology was associated with poor recovery (p = 0.048), with all unresponsive patients in this acute symptomatic group. Eight (23.5%) of the 34 NCSE patients did not recover or died, whereas nine (26.5%) recovered. Our study shows that the presence of acute symptoms or central nervous system infection is associated with poor outcome, suggesting that a high level of vigilance is required to identify and prevent complications.
Keimyung Author(s)(Kor)
문혜진
Publisher
School of Medicine
Citation
Bong Su Kang et al. (2014). Etiology and prognosis of non-convulsive status epilepticus. Journal of Clinical Neuroscience, 21(11), 1915–1919. doi: 10.1016/j.jocn.2014.03.018
Type
Article
ISSN
0967-5868
Source
https://www.sciencedirect.com/science/article/pii/S0967586814002628?via%3Dihub
DOI
10.1016/j.jocn.2014.03.018
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33994
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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