Article

Simple partial status epilepticus in Chinese adults.

Department of Medicine and Therapeutics, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong, China.
Journal of Clinical Neuroscience (impact factor: 1.25). 12/2005; 12(8):902-4. DOI:10.1016/j.jocn.2004.11.011 pp.902-4
Source: PubMed

ABSTRACT Simple partial status epilepticus (SPSE) is uncommon compared with generalized tonic-clonic status epilepticus. We evaluated the clinical profile and predictors of poor outcome in a group of Chinese patients with this condition. We identified 32 patients above the age of 14 years with SPSE from a large urban hospital over an eleven-year period. Factors for poor outcome, defined as death or morbidity, were analyzed. The most common underlying causes were due to cerebrovascular disease (46.9%), CNS infection (15.6%), metabolic derangement (12.5%) and tumor (12.5%). At 30 days from the onset of seizures, 13(40.5%) patients had recovered fully and seven (21.9%) had died. Poor outcome was associated with the presence of an acute symptomatic injury.

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    Article: Update on status epilepticus.
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    ABSTRACT: Status epilepticus is a medical emergency and is secondary to a range of insults to the central nervous system. The authors reviewed the current management of this disorder in light of the latest developments from recent trials and guidelines. Important principles in management include early recognition of status epilepticus, identification of the underlying cause and prompt treatment to terminate seizures and reduce complications. The role of electroencephalographic monitoring and different treatment regimens are examined.
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Keywords

32 patients
 
acute symptomatic injury
 
CNS infection
 
common
 
eleven-year period
 
generalized tonic-clonic status epilepticus
 
large urban hospital
 
morbidity
 
poor outcome
 
seizures
 
Simple partial status epilepticus
 
SPSE
 
tumor