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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
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Aneurysm, Vasculitis, Reversible ... Hyperglycemia, Hyponatremia ... #Causes #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
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... treat underlying cause ... , CNS Disease, Meds ... #diagnosis #nephrology ... #sodium
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
Hyponatremia (<135 ... among the possible causes ... asymptomatic to seizures ... (ADH) from the posterior ... of ADH from the posterior
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... Assess volume status ... of symptomatic (seizures ... Treatment #management #nephrology ... #sodium
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 ... hyperglycemia Hyponatremia ... hemorrhage Neoplasm Posterior ... #Epilepticus #Seizures ... #neurology
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
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
of Convulsive Status ... IV Thiopental Sodium ... #Management #neurology ... #pediatrics #peds ... #algorithm