10 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... between them PEDS ... → Benzo Dose 2 ... management #treatment #algorithm ... #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Posterior Reversible ... Altered mental status ... agitation) • Seizures ... Immunomodulatory meds ... Syndrome #Diagnosis #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Posterior Reversible ... reduction within first 2- ... are preferred Seizure ... #Reversible #Encephalopathy ... Treatment #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible ... may precede the neurologic ... the underlying cause ... : Treat with AEDs ... until cause identified
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... Concurrently search for reversible ... cause FIRST-LINE ... Convulsive #management #neurology ... #seizures #ACEP
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... Concurrently search for reversible ... cause First-line ... Epilepticus #Treatment #Algorithm ... #Management #Neurology
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Anti-Epileptic Drugs (AEDs ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... Initiation #start #Algorithm ... #Neurology #SHINE
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 ... hemorrhage Neoplasm Posterior ... reversible leukoencephalopathy ... #Epilepticus #Seizures ... #neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
mg) slowly over 2- ... mg) slowly over 2- ... #Management #neurology ... #pediatrics #peds ... #algorithm
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Summary Acute AIDP ... cases/100,000 per ... • Weakness: Starts ... , tachycardia, reversible ... management #treatment #neurology