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Doctor insights on: Why Are The Elderly More Prone To Status Epilepticus

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Could I be conscious during status epilepticus?

Could I be conscious during 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

Dr. Nancy Rodgers-neame
31 doctors shared insights

Status Epilepticus (Definition)

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 ...Read more


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How can I support someone in status epilepticus?

How can I support someone in status epilepticus?

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

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What is the definition or description of: status epilepticus?

What is the definition or description of: status epilepticus?

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

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How do you prevent status epilepticus?

How do you prevent status epilepticus?

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 more

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In a neuro-icu, how is status epilepticus treated?

In a neuro-icu, how is status epilepticus treated?

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 more

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If you have had status epilepticus in the past, should you call 911 immediately?

If you have had status epilepticus in the past, should you call 911 immediately?

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

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What causes status epilepticus?

What causes status epilepticus?

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 more

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What are the symptoms of status epilepticus?

What are the symptoms of status epilepticus?

Bad stuff: Continual repetitive seizures, without regaining consciousness between the events. This is a clearcut neurological emergency which is life threatening if not stopped. ...Read more

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Can a person be conscious during status epilepticus?

Can a person be conscious during 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 sone consciousness, for example with non-convulsive status epilepticus, but it wouldn't be close to the person's normal state. ...Read more

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Question about status epilepticus? How is it diagnosed?

Question about status epilepticus? How is it diagnosed?

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 more

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What complications are associated with status epilepticus?

What complications are associated with status epilepticus?

Many: If untreated then pt. Can develop accumulation of acid, electrolyte imbalance, injury to muscle cells, aspiration pneumonia, kidney failure, more brain injury etc. ...Read more

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How are serial seizures and status epilepticus treated?

How are serial seizures and status epilepticus treated?

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 more

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Can someone tell me what seizures are like in status epilepticus?

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

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Why would coma induction be used as a treatment for refractory status epilepticus?

Why would coma induction be used as a treatment for refractory status epilepticus?

For brain protection: It is thought that repetitive seizures if not controlled can themselves injure the brain. If the seizures are hard to control it is necessary to give drugs which deeply sedate the patient in order to stop the seizures. ...Read more

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Is it common to experience memory loss after status epilepticus coma?

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