RT Book, Section
A1 Huynh, Margaret
A1 Foreman, Brandon
A2 Go, Ronaldo Collo
SR Print(0)
ID 1160186812
T1 Status Epilepticus
T2 Critical Care Examination and Board Review
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259834356
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1160186812
RD 2024/04/19
AB Acute  seizures  are  common  and  are  defined  as  a  transient  occurrence  of  signs  and/or  symptoms  due  to  abnormal  excessive  or  synchronous  neuronal  activity  in  the  brain.1  Intrinsically,  the  brain  has  mechanisms  in  place  to  terminate  excessive  electrical  activity.  The  mean  duration  of  a  secondarily  generalized  tonic-clonic  (GTC)  seizure  is  53  to  62  seconds,  and  rarely  lasts  longer  than  2  minutes.2,3  However,  some  seizures  do  not  stop  and  progress  to  status  epilepticus  (SE),  which  may  be  convulsive  (CSE),  with  clinically  apparent  motor  (clonic)  rhythmic  jerking  and/or  (tonic)  stiffening,  or  nonconvulsive  (NCSE),  with  seizure  activity  on  electroencephalography  (EEG),  and  subtle  or  no  obvious  clinical  signs.  Status  epilepticus  is  a  neurological  emergency  often  requiring  management  in  the  intensive  care  unit  (ICU)  for  causes  or  complications  of  SE,  or  both.