PMID- 18453155
OWN - NLM
STAT- MEDLINE
DCOM- 20080610
LR  - 20190917
IS  - 0009-918X (Print)
IS  - 0009-918X (Linking)
VI  - 48
IP  - 4
DP  - 2008 Apr
TI  - [Clinical characteristics of status epilepticus in an emergency hospital: 
      importance of nonconvulsive status epilepticus].
PG  - 242-8
AB  - Although nonconvulsive status epilepticus (NCSE) is a major neurological 
      emergency, its frequency and clinical course are not well clarified. We 
      investigated the clinical characteristics of status epilepticus focusing on the 
      significance of NCSE. One thousand seven hundred twenty-three patients were 
      admitted as neurological emergency cases in our hospital between October 2003 and 
      September 2006. Of these cases, 94 (5.5%) were diagnosed as status epilepticus of 
      which, 24 (25.5%) were diagnosed with NCSE on admission. Moreover, 8 patients who 
      presented with convulsive status epilepticus on admission had episodes of NCSE 
      during hospitalization. Thus, 32 patients (34.0%) suffered from NCSE during their 
      clinical course. We analyzed the prognostic factors of status epilepticus using 
      the Glasgow Outcome Scale. Poor outcome was significantly correlated with NCSE (p 
      = 0.003) and acute cerebrovascular disease (p = 0.010), independent of age, sex, 
      history of epilepsy, and other etiologies. Our study revealed that NCSE is not a 
      rare condition and results in a poor outcome. Careful EEG evaluation of patients 
      with consciousness disturbance might increase the diagnostic accuracy of NCSE, 
      and aggressive treatment of patients with NCSE should be necessary to improve the 
      prognosis of NCSE.
FAU - Yoshimura, Hajime
AU  - Yoshimura H
AD  - Department of Neurology, Kobe City Medical Center General Hospital.
FAU - Takano, Shin
AU  - Takano S
FAU - Kawamoto, Michi
AU  - Kawamoto M
FAU - Beppu, Minako
AU  - Beppu M
FAU - Ohara, Nobuyuki
AU  - Ohara N
FAU - Kobayashi, Junya
AU  - Kobayashi J
FAU - Kuzuya, Akira
AU  - Kuzuya A
FAU - Yamagami, Hiroshi
AU  - Yamagami H
FAU - Kohara, Nobuo
AU  - Kohara N
LA  - jpn
PT  - English Abstract
PT  - Journal Article
PL  - Japan
TA  - Rinsho Shinkeigaku
JT  - Rinsho shinkeigaku = Clinical neurology
JID - 0417466
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Status Epilepticus/*physiopathology
EDAT- 2008/05/06 09:00
MHDA- 2008/06/11 09:00
CRDT- 2008/05/06 09:00
PHST- 2008/05/06 09:00 [pubmed]
PHST- 2008/06/11 09:00 [medline]
PHST- 2008/05/06 09:00 [entrez]
AID - 10.5692/clinicalneurol.48.242 [doi]
PST - ppublish
SO  - Rinsho Shinkeigaku. 2008 Apr;48(4):242-8. doi: 10.5692/clinicalneurol.48.242.