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Pet Refractory Seizures Presurgical Evaluation
No medical hist. developed respiratory prob.viral infect. with headache&vomiting, left facio-brachial seizures that became continuous, evolving into refractory status epilepticus, with bilateralization. Tests are fine. Now in coma and no diagnostic?
Seizures: This sounds like meningitis and encephalitis from an infection. Sometimes there are clues in the complete blood count. Bacterial infections typically show a predominance of neutrophils (also called granulocytes), while viral infections often show a predominance of monocytes or other lymphocytes. Also, if intubated then probably there are sedative medications changing mental status as well. ...Read more
STATUS EPILEPTICUS: Status epilepticus is an emergency and can be fatal, generally any seizure lasted more than 20-30 minutes or multiple seizures occurred without returning to normal alertness between those seizures called status. Treatment includes, preserving the breathing may need intubation, seizure medication is needed to stop the status and transfering the patient to intensive care unit always needed. ...Read moreSee 1 more doctor answer
No recovery between: Status epilepticus means no recovery between seizures lasting more than 30 minutes--- it could be evident tonic clonic jerking or could be non convulsive status like patient in a non responsive state but not jerking there is other kinds of status like simple partial. ...Read more
If this is the first time I am having seizures but it lasted more than 30 minutes, is it considered status epilepticus?
Depends: The details provided are sketchy and definitions vary, but traditionally status epilepticus is defined as one continuous, unremitting seizure lasting longer than 5 minutes, or recurrent seizures without regaining consciousness between seizures for greater than 5 minutes. 5 min has been chosen as this is the time frame when the seizures are unlikely to self-terminate and neuron damage can occur. ...Read moreSee 1 more doctor answer
What is the prognosis for status epilepticus? Left sided stroke, craniotomy, seizure free first 1 1/2 yrs. 2 seizure meds episodes min 75days apart
Status epi: Long-lasting status is a difficult case and can be serious. People who have recovered from status have a much better prognosis, with rare relapses, but they should continue anticonvulsant medications afterwards. They will likely always be on at least one medicine. ...Read moreSee 1 more doctor answer
Name of top surgeon/facility for frontal cortical dysplasia evaluation, treatment and/or surgery? Thank you e olsen healthy, otherwise normal 16 yr old female, tonic clonic, versive seizures approx 1 x month for 4 years on lamictal. A few 2 and 3 month
Some suggestions: You could start with University Hospital in Aurora, but I think more surgical epilepsy experience is present at UCLA Hospital in California, Mayo Clinic in Rochester, Mn, Cleveland Clinic in Ohio, and of course, Johns Hopkins Hospital in Baltimore. No harm in acquiring several opinions via phone calls, first. This is a highly specialized area, and would take your time to find success. ...Read moreSee 1 more doctor answer
When is epilepsy is considered "refractory"? Tried couple of meds that work 4 for a bit but then seizures & migraines again. Getting frustrated.
FLEXIBLE DEFINITION: In fact, full control is the goal, but "refractory" could imply just a few seizures monthly. Whenever using epilepsy medication, need to dose to maximum level, if tolerated. Then add second medicine if first is inadequate. A third medication has only a 3-4% chance of controlling seizures, and if this develops, consider a Vagal Nerve Stimulator. We have well over 20 AEDs, and one may be best. ...Read more
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