PMID- 11056841 OWN - NLM STAT- MEDLINE DCOM- 20010215 LR - 20191104 IS - 0009-9155 (Print) IS - 0009-9155 (Linking) VI - 31 IP - 4 DP - 2000 Oct TI - Considerations of nonconvulsive status epilepticus. PG - 192-5 AB - The original concepts of absence status (AS) and complex partial status (CPS) are critically reviewed. This review has been prompted by a modern concept of nonconvulsive status epilepticus (NCSE), portrayed as a rather common condition occurring chiefly in the critically ill elderly with high morbidity and mortality. This new view is a striking departure from the original concepts of AS and CPS as rare protracted epileptic events occurring usually in temporarily confused but otherwise satisfactorily healthy and ambulatory patients. This new trend appears to have been caused by a misinterpretation of EEG findings: prominent generalized spike activity is in reality the expression of a very severe encephalopathy rather than of NCSE, most often caused by an anoxic episode. The role of EEG is emphasized but a valuable interpretation depends on an expert integration of EEG and clinical data. A brief discussion of epileptic twilight states further stresses the difficult differential diagnosis. FAU - Niedermeyer, E AU - Niedermeyer E AD - Division of Neurology, Sinai Hospital. FAU - Ribeiro, M AU - Ribeiro M LA - eng PT - Journal Article PL - United States TA - Clin Electroencephalogr JT - Clinical EEG (electroencephalography) JID - 0236454 SB - IM MH - Brain/*physiopathology MH - *Electroencephalography MH - Humans MH - Prevalence MH - Status Epilepticus/*diagnosis/epidemiology EDAT- 2000/11/01 11:00 MHDA- 2001/03/03 10:01 CRDT- 2000/11/01 11:00 PHST- 2000/11/01 11:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2000/11/01 11:00 [entrez] AID - 10.1177/155005940003100407 [doi] PST - ppublish SO - Clin Electroencephalogr. 2000 Oct;31(4):192-5. doi: 10.1177/155005940003100407.