Doctor insights on:
Why Are The Elderly More Prone To Status Epilepticus
Not normally: The definition of status epilepticus from the working group of the epilepsy foundation is " "more than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures." so there could be consciousness, particularly with non-convulsive status epilepticus, but it wouldn't be the person's normal state. ...Read more
A B C: Protect the airway - head to side and nothing in the mouth. Be sure breathing is adequate and airway is clear when they try to breath. Check the cardiac status that the heart is beating well and is perusing the brain. Once these issues are addressed, call for help, and then administer rescue medication if you have any available. Save the panic reaction to after completing above. ...Read more
Continuous seizures : Without regaining consciousness between each event. The most common cause is sudden stopping of anti-epileptic drug, but this can be an event secondary to infection, injury, encephalitis, chemical imbalance in the body, alcoholism. This is indeed a true medical emergency requiring hospitalization. ...Read more
Taking seizure meds: Patient can get status epilepticus as a consequence of a severe brain disorder, such as encephalitis, a head injury etc. This kind of status epilepticus is not preventable per se. In patients with known seizures however ( patients diagnosed with epilepsy) the most common cause of status epilepticus is failure to take thier anti-epileptic medicine. Taking medicine as directed helps prevent this. ...Read moreSee 1 more doctor answer
Two parts: 1. Work is done to find the cause of the persistent seizures, tests for infection, MRI of the brain, spinal tap and blood tests. People with epilepsy before this starts may not need all these tests. 2. Strong medication is given to produce a comatose state, to prevent seizures for at least 24 hours, before they are tapered off. EEG monitoring is essential during this care. Hope that helps ...Read moreSee 2 more doctor answers
Not necessarily: You see, status is most commonly associated with discontinuation or missing meds, infections, drug-drug interactions, metabolic imbalances (low blood sugars, etc), contact with toxins. If you are well controlled and faithfully take your meds, one intermittent seizure should not be a major issue. However, 2 or more events without awakening does require emergency attention. ...Read more
Severe brain insult: There are multiple problems but all involve acute insults to the brain. This can include, strokes, infections like encephalitis, severe metabolic problems, including "ischemia/ hypoxia" ( lack of blood flow/oxygen to the brain as with a cardiac arrest for example), certain kinds of drug intoxication. Sudden cessation of anti-seizure meds in someone with epilepsy. There are other causes as well. ...Read moreSee 1 more doctor answer
Not normally: The definition of status epilepticus from the working group of the epilepsy foundation is " "more than 30 minutes of continuous seizure activity or two or more sequential seizures without full recovery of consciousness between seizures." so there could be sone consciousness, for example with non-convulsive status epilepticus, but it wouldn't be close to the person's normal state. ...Read more
EEG or clinical : Recurrent seizures without waking up in between. Several types. Most dangerous type is recurrent convulsions. Another type is non convulsive status epilepticus: recurrent episodes of a confused state (there are subtypes of this). Need continuous eeg to diagnose. ...Read moreSee 1 more doctor answer
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
Yes: Status epilepticus is a life-threatening condition in which seizures are prolonged and affect much of the brain. Someone can be in a coma with se either because of prolonged seizures or because of meds used to stop the seizure. In either case once the seizures stop it can take time to recover. If the seizures are very prolonged damage to the brain can occur. ...Read more
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