How are non convulsive seizures treated?

For more persistent or resistant complex partial status epilepticus intravenous therapy should be used, and lorazepam followed by phenytoin are the drugs of choice.

What is the difference between convulsive and Nonconvulsive seizures?

Abstract. Nonconvulsive status epilepticus (NCSE) refers to a prolonged seizure that manifests primarily as altered mental status as opposed to the dramatic convulsions seen in generalized tonic-clonic status epilepticus.

What does a Nonconvulsive seizure look like?

Nonconvulsive status epilepticus (NCSE) has rapidly expanded from classical features such as staring, repetitive blinking, chewing, swallowing, and automatism to include coma, prolonged apnea, cardiac arrest, dementia, and higher brain dysfunction, which were demonstrated mainly after the 2000s by us and other groups.

How do you treat non convulsive status epilepticus?

Refractory subtle SE should be treated like overt GCSE not responding to first-line drugs, and in this situation European treatment guidelines recommend anaesthetics such as midazolam (0.2 mg/kg bolus, 0.05–0.4 mg/kg/h infusion), propofol (bolus of 2–3 mg/kg, followed by further boluses at 1–2 mg/kg until seizure …

How do you identify a non convulsive status epilepticus?

CLINICAL FEATURES

  1. Coma, altered consciousness, or altered sensorium.
  2. Catatonia.
  3. Behaviour changes and psychotic symptoms (e.g. delusions, paranoia, hallucinations)
  4. Subtle motor signs (e.g. automatism, cyclonic jerks, myoclonus, eye twitching, eye deviation)

What drugs cause status epilepticus?

In therapeutic practice, SE is most commonly seen in association with antibiotics (cephalosporins, quinolones, and some others) and immunotherapies/chemotherapies, the latter often in the context of a reversible encephalopathy syndrome.

Does a non-convulsive seizure require minimal care?

BACKGROUND: Non-convulsive seizure (NCS) is an underdiagnosed, potentially treatable emergency with significant mortality and morbidity.