Jacob Of Convulsive Status Epilepticus: A Case Study

When I was eight years old I learned what epilepsy was. My family was in the car driving to get dinner, with my dad driving. We were stopped at a stop light, and when it turned green we never moved. My mother looked over at my dad and realized he was having a seizure. At the time I did not know what that was; all I remember is a blur of my sister calling 911, and us going to the hospital. It was one of the scariest moments of my life; I thought my dad was dying. Later that night my mom explained to us what a seizure was, and that he was going to be okay. This was the first time my dad had a seizure, and the doctors did not know why. He was sent home from the emergency room that night with no answers and a shaken up family.

contracted the flu, but in past few days his symptoms have significantly increased. Recently, he

Epilepsy and Seizure Disorder: All actions and functions travel to the different parts of the brain much like electrical wiring. The “electricity” moves from one area or wired circuit through another by jumping and traveling from area to area much like electricity Due to abnormal electricity and “jumping” seizures can occur. Epilepsy is where these electoral abnormalities are reoccurring often causing many seizures. The Tonic-Clonic or Grand Mal seizures that CM has is from muscles tightening and relaxing very fast due to the abnormal jumping of electricity in the brain. P. 417

Tony is a single, 50 year old Caucasian male still living with his mother and has one child which is a daughter 6 years old from a previous relationship in the past. He has never been married and currently not able to drive because of his seizure disorder because in the state of North Carolina he has to be seizure free for 1 year and approved by his family physician to legally drive. He relies on public transportation, friends and his mother in getting different places, such as going to the doctor, and visiting with his daughter. He has supervised visit with his daughter every other weekend due to the safety issues concerning his seizure disorder. Tony cannot be left alone because he does have a history of having seizures while no one is around

This study design was an open-label randomized controlled trial. A total of 66 patients enrolled in this study with a mean age of 41 years old that were admitted in the intensive care unit from 2007 to 2010. The mean age was between 40.8 to 41.4 between both groups. Of the 66 participants there were 36 men and 30 women that participated in this study. The seizure etiology included epilepsy related, virus encephalitis, cerebrovascular disease, and other. The duration of seizures varied from under four hours to over 24 hours.

I am one of the nurses in this hospital. What has brought you here today? I can understand that it must be hard for you. Please rest assured that as long as you provide appropriate actions, your daughter’s safety will be ensured. We will discuss it today. Before that, could you tell me how much you know about epilepsy? I see. I would like to explain to you briefly what epilepsy is if you don’t mind. Epilepsy is a disruption of the brain activity. It can occur due to some reasons which we don’t know. But the important thing is how to act when your daughter got a fit. There are a few symptoms, such as muscle jerking and incontinence. It could be good to know. Now, I want you to know what should do when your daughter got a fit. There are 4 actions

Many studies have suggested that managing nonconvulsive status epilepticus (NCSE) presents many challenges, which would benefit from additional early measures to predict patient outcomes. Non-convulsive status epilepticus (NCSE) is status epilepticus without obvious tonic–clonic activity. NCSE is now known to be a heterogeneous disease with a variety of reasons, several subtypes (Shenker and Foundation 2003). In the mental status testing study researcher stated most patient were unexplained reduced level of consciousness or altered mental status and they only administer Folstein Mini-Mental State Examination (MMSE) when patients very mildly impaired. To determine the usefulness of the NCSE divided into Standardize NCSE exam and Glasgow coma

Status epilepticus (SE) is a life-threatening ailment in which the brain is in a state of persistent seizure. Definitions differ, but conventionally it is well-defined as one constant unremitting seizure lasting longer than 5 minutes, or recurring seizures without recuperating consciousness between seizures for greater than 5 minutes. When recurring seizures happen at a frequency which does not let consciousness to be recouped in the interval between seizures, it is called status epilepticus. Severe and perpetual brain impairment might arise from status epilepticus continuing for more than an hour. The lengthier the duration of status epilepticus, the more challenging it is to control and higher is the rate of morbidity and mortality. It is constantly considered a medical emergency. Etiologically, SE can be shared into 3 groups. SE can represent an exacerbation of a pre-existing seizure complaint, the early manifestation of a seizure disorder, or an insult other than a seizure disorder. In patients with known

Sudden infant death syndrome (SIDS) is the most frequent cause of death between 1 month and 1 year of age (Naeye). SIDS is defined as the sudden death of any infant or young child that is unexpected by it’s history, and in which a thorough postmortem examination fails to determine an adequate cause (Hunt 1987). It is important to consider both aspects of this definition in order not to ‘overdiagnose’ SIDS. A mistake of this nature would occur with failure to report a previous history of seizures, or if at the time of the autopsy a differentiation between suffocation due to rebreathing and SIDS was not made (Kemp 1993). One of the major characteristics of SIDS is that of ‘silent death’, which occurs during

Although seizures have been characterized for a long time, they are continually redefined by the International League Against Epilepsy (ILAE) to better characterize those arising from due to standalone structural neurologic disorders (i.e., epilepsy), versus those that are secondary to an existing illness (e.g., febrile types seen in cases of infection), among others1. In this literature review, the focus is on febrile seizures (FS) in pediatric groups and the pathogens most often associated with them. However before delving into a discussion about the pathogens associated with FS it would be appropriate, at this moment, to delineate the criteria that characterize a febrile seizure. Currently, complex FS are described as one that arises in one side of the brain (that is, it’s focal), occurs more than once during a febrile illness within a 24-hour period, or lasts more than 10-15 minutes.2 My febrile patient suffered a similar episode also presented with had initially

Each year, one in one hundred people in the United State develop epilepsy, but there is a less common type of epilepsy. It’s called febrile-infection related epileptic syndrome, more commonly known as FIRES. I happen to know one of the few people who have this type of epilepsy. Her name is Kailee, and she goes to my brother’s school. She was even in some of his classes. This type of epilepsy occurs in school-aged children between the ages of six and seventeen (“What is FIRES?”). It starts with a mild febrile illness that lasts anywhere from four days to two weeks. Febrile illness is when someone has a fever but they aren’t sick with anything else (“Febrile Illness”). When Kaylee was at this point, her mom thought she had the flu. This is very common, as the flu presents itself as a fever in many children. Then, the child starts to have seizures. The seizures occur very quickly, and the child needs to be hospitalized immediately at this point. Seizures the children experience are non focal, meaning they have no consistent starting point or ending point in the brain (“What is FIRES”). The disease is slightly more prevalent in boys than girls, but there is no known reason as

A 23 year male of Indian ethnicity was referred to the neurosurgical outpatient department at the Royal Melbourne Hospital. He had a history of epilepsy for the previous 10 years, progressively more frequent and hindering his occupation as a chef. He reported approximately five seizures per week that were refractory to anti-epileptic medications. He was reported to have febrile seizures as child according by his parents. A typical epileptic episode consisted of lip smacking with jerky movement of the right upper limb followed by a period of unconsciousness and jerky movements of the entire body. Episodes lasted approximately one to two minutes at a time. He was seen and

SUDEP is defined as the “sudden, unexpected, witnessed, or unwitnessed, nontraumatic and nondrowning death in patients with epilepsy, with or without evidence for a seizure and excluding documented status epilepticus, in which postmortem examination does not reveal a toxicological or anatomic cause for death” (Nashef 1997). The majority of SUDEP is unwitnessed, making it difficult to identify associated factors at the time of death (Lamberts et al. 2012. Epilepsia). However, risk factors have been revealed through retrospective analysis of SUDEP cases. These risk factors include Dravet syndrome (Le Gal et al. 2010; Kalume 2013), sleeping in prone position (Liebenthal et al. 2015), a lack of supervision by personnel capable of intervention (Nashef

seizure lasted thirty minutes, and the ones that would follow were no better. As the

Dr. Lancman has written a book called “What You Need to Know If Epilepsy Has Touched Your Life: A Guide in Plain English” with his two partners Olgica Laban-Grant, Evan Fertig, which was published on December 17th, 2012. This specific article’s publication is in the Exceptional Parent Magazine, dated August 1999. This publication is targeted towards parents to inform them on their children who may suffer with disabilities such as epilepsy and how to guide them with coping strategies, medications or even surgeries. Marcelo Lancmans’ credibility allows parents to read this article with reassurance in what they can do to help their suffering