PMID- 24249828
OWN - NLM
STAT- MEDLINE
DCOM- 20161114
LR  - 20161230
IS  - 1938-2715 (Electronic)
IS  - 1049-9091 (Linking)
VI  - 32
IP  - 2
DP  - 2015 Mar
TI  - Nonconvulsive status epilepticus in a palliative care unit: when delirium is a 
      seizure.
PG  - 243-7
LID - 10.1177/1049909113512719 [doi]
AB  - The search for an underlying cause of altered mental status not uncommonly 
      becomes more challenging in the hospice and palliative care setting. Due to 
      multiple coexisting conditions that affect mental status and shifting goals of 
      care, discerning that single cause in this venue can become frustrating and even 
      nonbeneficial at times. We present a case of nonconvulsive status epilepticus 
      (NCSE), which multiple reports have shown to be a rarely contemplated cause of 
      impaired consciousness. A concise review of NCSE follows, with emphasis on 
      conditions that present similarly, precipitating factors, diagnostic and 
      therapeutic considerations, and prognostic implications. Nonconvulsive status 
      epilepticus is a reversible cause of altered consciousness, particularly when 
      recognized promptly. In a palliative care unit, treatment should ultimately be 
      guided by the patient's goals of care.
CI  - (c) The Author(s) 2013.
FAU - Samala, Renato V
AU  - Samala RV
AD  - Center for Connected Care, Cleveland Clinic, Cleveland, OH, USA samalar@ccf.org.
FAU - Parala-Metz, Armida
AU  - Parala-Metz A
AD  - The Harry R. Horvitz Center for Palliative Medicine, Cleveland Clinic, Cleveland, 
      OH, USA.
FAU - Davis, Mellar P
AU  - Davis MP
AD  - The Harry R. Horvitz Center for Palliative Medicine, Cleveland Clinic, Cleveland, 
      OH, USA.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20131117
PL  - United States
TA  - Am J Hosp Palliat Care
JT  - The American journal of hospice & palliative care
JID - 9008229
RN  - 0 (Anticonvulsants)
SB  - IM
MH  - Aged
MH  - Anticonvulsants/therapeutic use
MH  - Brain/pathology
MH  - Delirium/*diagnosis/pathology
MH  - Humans
MH  - Magnetic Resonance Imaging
MH  - Male
MH  - Neuroimaging
MH  - *Palliative Care
MH  - Seizures/diagnosis/pathology/therapy
MH  - Status Epilepticus/*diagnosis/drug therapy/pathology
OTO - NOTNLM
OT  - altered mental status
OT  - nonconvulsive status epilepticus
OT  - palliative care
EDAT- 2013/11/20 06:00
MHDA- 2016/11/15 06:00
CRDT- 2013/11/20 06:00
PHST- 2013/11/20 06:00 [entrez]
PHST- 2013/11/20 06:00 [pubmed]
PHST- 2016/11/15 06:00 [medline]
AID - 1049909113512719 [pii]
AID - 10.1177/1049909113512719 [doi]
PST - ppublish
SO  - Am J Hosp Palliat Care. 2015 Mar;32(2):243-7. doi: 10.1177/1049909113512719. Epub 
      2013 Nov 17.