The Pros And Cons Of Nonconvulsive Status Epilepticus

Seizures or epilepsy are brain disorders where the person has repeated convulsions over a period of time. They’re episodes of disturbed brain activity that cause changes in attention and behavior. Seizures are considered the most common observed neurological dysfunction in children. They are very sudden intermittent episodes of altered consciousness lasting seconds to minutes and include involuntary tonic (stiffening of muscles) and clonic (altering contraction and relaxation of muscles) movements.

In the brain there is a irregular electricity that causes absence seizures. The main way to see is someone is having an absence seizure is to put them through an Electroencephalography or EEG for short. This monitors the brain waves through various wave lengths but in the case of absence seizures we are looking for a 3-Hz spike in the brain waves. This tells us if they are having an absence seizure in some other

Mrs. Dey reported she had been extremely sick with the anti-seizure medications and her primary care advised her to stop the current medication and go into the hospital. She was hospitalized overnight in observation and Dr. Hardy requested she come into his office the following Monday, September 11, 2017. Due to the unexpected appointment, I had a scheduling conflict and my colleague Laurie Wawrzynaik RN, BSN, MA, attended.

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.

In this article I will be talking about and researching the no communicable noncommunicable dieses is Seizures. I picked this dieses because my dad has had them since he was a new born. When he was born they used forests to pull him out of the birth canal and it cause frontal brain damage and made him have Seizures for the rest of this life.

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.

During this quarter Jose did not experience any serious injuries. He experienced a hospitalization with admitting diagnosis of Acute Seizure (prolonged postictal lethargy and AMS) form 1/20/18 to 1/23/18; during his hospital staying, he consulted with the neurologist whom ordered an EEG that showed abnormal electroencephalogram consistent with independent interictal activity in both hemispheres supporting the diagnosis of chronic epilepsy; Trileptal was discontinued, no changes Keppra, Lamictal or Topamax. Other studies/workup included a CT head w/o contrast that showed chronic ethmoid sinusitis, normal chest x-ray, elevated ammonia levels, and low potassium (corrected). Prior his hospitalization Jose consulted with neurology on 11/21/17 who recommended the initiation of Trileptal, CT head if not done within 2017, and indicated that he may need a VNS if not improvement on refractory seizures. His next neurology follow up will be on 2/21/18.

Epilepsy Research Paper People most often associate violent twitching, falling to the floor and drooling with epilepsy. However the described event is only one kind of an epileptic seizure, which is called a tonic-clonic seizure. There are many other kinds of seizures, and each has different sets of signs and symptoms. During generalized seizures the whole brain is affected and the initial symptom is loss of consciousness. This category includes such seizures as absence seizure, myoclonic seizure, and atonic attack.

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

Fifteen month old Jacob is brought seizing into our small rural emergency department by ambulance. He has been having generalised tonic clonic jerking movements and unresponsiveness for the past twenty-five minutes. He is accompanied by his very concerned mother. Jacob is immediately designated a category one triage as he is unresponsive, his life is in immediate danger as is having an ongoing and prolonged seizure. A Glasgow coma scale less than eight (his is three) means he is not able to protect his airway. The provisional diagnosis given to Jacob of generalised convulsive status epilepticus (SE) is a serious and often life threatening emergency as it can compromise the airway leading to hypoxia causing neurons to die leading to potential permanent brain damage.

Status epilepticus are seizures lasting >20 minutes, or repeated seizures without regaining consciousness [71]. Physicians should be particularly careful with it, since the background may be other than epilepsy. Infection, haemorrhage, trauma, hypoxia, ischemic or haemorrhagic stroke, hypoglycaemia, hyponatremia, drug toxicity and alcohol withdraw should be ruled out. In any of the above, the provoking cause should be treated. If the cause is epilepsy, the treatment of choice is benzodiazepines and the second choice is phenytoin/ fosphenytoin, but with caution as rapid infusion may induce cardiovascular problems. For resistance in those two drugs, the Neurocritical Care Society’s Status Epilepticus Guideline

The audit aimed to examine parental satisfaction of various aspects of the service and to review the seizure outcomes (aim 1). Overall, 100% of participants were satisfied with the care and agreed that enough information on treatments were given by the department. Responses to the satisfaction of the overall care focused on appraisal of the various doctors and healthcare professionals. Satisfaction of the treatment outcome (81.8%) was high, with 63.6% reporting an improvement in seizure frequency and 54.5% a reduction in seizure severity, since being under the care of the epilepsy surgery pathway at the KCH.

Electroencephalography (EEG) has a broad use in both medical practices and medical research for diagnosing and identifying epileptic seizures, syncope (fainting), cognitive psychologies, and psychophysiological research (Niedermever, 2004). Commonly used in identifying epilepsy, the EEG helps the doctors to distinguish types of seizures, the reasons to trigger the seizures and also the treatment needed. Types of EEG are different according to test aims, facilities, medical and patients’ situations, and are generally separated into 4 types: Routine EEG, Sleep EEG, Ambulatory EEG and Video EEG. All of the types would record electrical activities of the brain, investigate their potential fluctuations and brain waves, and perform analysis to convert the data into useful information in identifying the seizures. Usually, the EEG test will last for 20 to 40 minutes, and will be conducted by attaching scalp with the electrodes which are connected to an EEG recording machine (NHS, 2017).

The mind is the biggest thing separating human from animal. But does a human with a chronic illness have the same separation, or are they as useless as animals? Epilepsy is the most common chronic illness in the united states, chronic meaning lasting more than 6 months. Having a chronic illness can be tough for kids, the have to take medication night and day, tell their teacher you don’t zone out on purpose, and try their hardest to fit in like a normal kid.

Epilepsy is a condition in which a person has two or more seizures affecting a variety of mental and physical functions. Epilepsy is one of the oldest conditions of the human race. Epilepsy Awareness is important because Epilepsy is a widely misunderstood disorder. The reason that Epilepsy has been misunderstood has been mainly due to research not being conducted until the middle of the nineteenth century. There are six main types of seizures and many treatments that can assist an epileptic patient. Many facts and myths exist about a person who has Epilepsy, which, is why it is an important disorder to understand. A person living with Epilepsy can typically have a normal life after seeking medical advice from doctors.