14 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... The longer the seizure ... which may cause ... may cause aspiration ... #Management #Neurology
Causes of Primary Epileptic Seizures - Differential Diagnosis Algorithm
Focal - Non-Dyscognitive - Features of
 • Aura
Causes of Primary ... Epileptic Seizures ... #Epilepsy #Seizures ... #Neurology #Differential ... Diagnosis #Algorithm #Causes
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Status Epilepticus ... Continuous seizure ... 10 min OR >= 2 seizures ... infusion #Status #Epilepticus ... #Management #Neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Convulsive Status Epilepticus ... for reversible cause ... is available or seizure ... Convulsive #management #neurology ... #seizures #ACEP
Status Epilepticus Management

 • Definition of Status Epilepticus
 • Diagnostic Workup
 • Potential Causes

Treatment of Status
Status Epilepticus ... Definition of Status Epilepticus ... • Potential Causes ... Management #epilepsy #neurology ... #seizure #management
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Convulsive Status Epilepticus ... for reversible cause ... medications in status epilepticus ... Convulsive #Status #Epilepticus ... Algorithm #Management #Neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Algorithm for Status Epilepticus ... 0.5-3.0-mg/kg/hr ... 0.1-0.4 mg/kg/hr ... Management #Algorithm #Neurology ... pharmacology #dosing #seizure
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
you start Anti-Epileptic ... on a first time seizure ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... start #Algorithm #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
• Headache • Seizures ... nonconvulsive status epilepticus ... the underlying cause ... with AEDs until cause ... diagnosis #management #neurology
Causes of Status Epilepticus in Adults
METABOLIC DISTURBANCES
Hepatic encephalopathy
Hypocalcemia
Hypoglycemia or hyperglycemia
Hyponatremia
Uremia
INFECTIOUS PROCESSES
Central nervous system abscess
Encephalitis
Meningitis
WITHDRAWAL SYNDROMES
Alcohol
Antiepileptic drugs
Baclofen
Barbiturates
Benzodiazepines
CENTRAL
Causes of Status ... Epilepticus in ... #Seizures #Differential ... #diagnosis #causes ... #neurology