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IN
Journal article
Non-Convulsive Status Epilepticus (NCSE) in ICU
Made Wiryana I Ketut Sinardja I Wayan Aryabiantara Tjokorda Gde Agung Senapathi I Made Gede Widnyana I Gusti Agung Gede Utara Hartawan Pontisomaya Parami Christopher Ryalino Adinda Putra Pradhana
Volume : 1 Nomor : 1 Published : 2017, February
Bali Journal of Anesthesiology
Abstrak
Epilepsy is a neurological disorder characterized by recurrent epileptic seizures. Non-convulsive status epilepticus (NCSE) is defned as a persistent change in mental status as opposed to the previous conditions, lasted at least 30 minutes long, associated with continuous spike wave epileptiform EEG changes. Clinical manifestation of NCSE can present as confusion, personality changes, psychosis, and coma. Indeed NCSE prognosis is dependent on the underlying etiology of persistent EEG changes. Preferred medication is focus on improving its fundamental pathological changes, such as metabolic disorders, infection, drugs toxicity, and immediate pharmacological treatment. Intravenous benzodiazepine is recommended as the frst drug of choice for NCSE and early recognition of treatment response can help to establish the diagnosis. This patient has a good outcome which was infuenced with short ictal period from the frst episode upon arrival on refered hospital, good initial response and management on emergency department, a conduct and thorough ICU monitoring, as well as the efective treatment response.