PMID- 17044825 OWN - NLM STAT- MEDLINE DCOM- 20070412 LR - 20161124 IS - 0013-9580 (Print) IS - 0013-9580 (Linking) VI - 47 Suppl 1 DP - 2006 TI - In nonconvulsive status epilepticus (NCSE), treat to burst-suppression: pro and con. PG - 41-5 AB - Dr. Jordan (PRO) argues that when refractory NCSE is combined with acute brain injury, it produces synergistically compounded brain damage that is time dependent. Treating to EEG burst-suppression is the most rapid and effective method for stopping NCSE. The risks of burst-suppression are common to many intensive care interventions and can be minimized with expert management. Dr. Hirsch (CON) argues that treating with coma-inducing medication is highly risky and has a high mortality rate, often due to iatrogenic complications. It remains unclear if nonconvulsive seizures cause permanent neuronal injury. Nonconvulsive seizures should be diagnosed and treated as quickly as possible,but with non-coma-inducing treatments in most cases [corrected] FAU - Jordan, Kenneth G AU - Jordan KG AD - Jordan NeuroScience, Inc., San Bernardino, California 92404, USA. info@jordaneuro.com FAU - Hirsch, Lawrence J AU - Hirsch LJ LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Epilepsia JT - Epilepsia JID - 2983306R RN - 0 (Anticonvulsants) SB - IM EIN - Epilepsia. 2006 Dec;47(12):2211 MH - Acidosis/chemically induced/mortality MH - Adolescent MH - Anticonvulsants/adverse effects/pharmacology/*therapeutic use MH - Brain/physiopathology MH - Brain Injuries/*complications/diagnostic imaging/physiopathology MH - Coma/chemically induced/mortality MH - Electroencephalography/*drug effects/statistics & numerical data MH - Humans MH - Male MH - Prognosis MH - Recurrence MH - Status Epilepticus/*drug therapy/*etiology/physiopathology MH - Tomography, X-Ray Computed EDAT- 2006/10/19 09:00 MHDA- 2007/04/14 09:00 CRDT- 2006/10/19 09:00 PHST- 2006/10/19 09:00 [pubmed] PHST- 2007/04/14 09:00 [medline] PHST- 2006/10/19 09:00 [entrez] AID - EPI659 [pii] AID - 10.1111/j.1528-1167.2006.00659.x [doi] PST - ppublish SO - Epilepsia. 2006;47 Suppl 1:41-5. doi: 10.1111/j.1528-1167.2006.00659.x.