PMID- 36691331 OWN - NLM STAT- MEDLINE DCOM- 20230809 LR - 20230809 IS - 1938-2707 (Electronic) IS - 0009-9228 (Linking) VI - 62 IP - 8 DP - 2023 Sep TI - Evaluation of Nonconvulsive Status Epilepticus and Nonconvulsive Seizures in a Pediatric Intensive Care Unit. PG - 879-884 LID - 10.1177/00099228221150687 [doi] AB - We aimed to identify nonconvulsive seizures (NCS) and nonconvulsive status epilepticus (NCSE) in a pediatric intensive care unit (PICU). A prospective cohort study on 35 patients who underwent continuous electroencephalographic monitoring in the PICU was done. The patients were evaluated to collect data of their demographics, clinical diagnoses, clinical seizures by electroencephalography, and neuroimaging findings. One case with NCSE and 4 cases with NCS were diagnosed among the 35 patients. The etiology of the patient with NCSE showed antiepileptic drug (AED) withdrawal. The etiology of the patients with NCS included electrical injury, head trauma, subarachnoid hemorrhage, and pneumonia. The findings suggest that younger age, epilepsy, acute structural brain abnormalities, abrupt cessation of AED, and clinically overt seizures before NCSE/NCS are associated with significant risk for NCS/NCSE. In addition, the electrical injury may also be considered as a risk factor for electrographic seizure though such a case has not yet been reported. FAU - Cavusoglu, Dilek AU - Cavusoglu D AUID- ORCID: 0000-0003-4924-5300 AD - Department of Pediatric Neurology, Faculty of Medicine, Afyonkarahisar Health Sciences University, Afyon, Turkey. FAU - Olgac Dundar, Nihal AU - Olgac Dundar N AD - Department of Pediatric Neurology, Faculty of Medicine, Tepecik Training and Investigation Hospital, Izmir Katip Celebi University, Izmir, Turkey. FAU - Kamit, Fulya AU - Kamit F AD - Department of Pediatric Intensive Care, Istanbul Gaziosmanpasa Hospital, Yeni Yuzyil University, Istanbul, Turkey. FAU - Anil, Ayse Berna AU - Anil AB AD - Department of Pediatric Intensive Care, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey. FAU - Arican, Pinar AU - Arican P AD - Department of Pediatric Neurology, Tepecik Education and Research Hospital, Izmir, Turkey. FAU - Zengin, Neslihan AU - Zengin N AD - Department of Pediatric Intensive Care, Izmir Buca Obstetrics and Pediatrics Hospital, Izmir, Turkey. FAU - Gencpinar, Pinar AU - Gencpinar P AD - Department of Pediatric Neurology, Faculty of Medicine, Tepecik Training and Investigation Hospital, Izmir Katip Celebi University, Izmir, Turkey. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230123 PL - United States TA - Clin Pediatr (Phila) JT - Clinical pediatrics JID - 0372606 RN - 0 (Anticonvulsants) SB - IM MH - Child MH - Humans MH - Prospective Studies MH - *Status Epilepticus/diagnosis/drug therapy/etiology MH - Seizures/diagnosis/drug therapy/etiology MH - Anticonvulsants/therapeutic use MH - Electroencephalography/methods MH - Intensive Care Units, Pediatric OTO - NOTNLM OT - cEEG OT - children OT - nonconvulsive seizure OT - nonconvulsive status epilepticus OT - pediatric intensive care unit EDAT- 2023/01/25 06:00 MHDA- 2023/08/09 06:43 CRDT- 2023/01/24 00:52 PHST- 2023/08/09 06:43 [medline] PHST- 2023/01/25 06:00 [pubmed] PHST- 2023/01/24 00:52 [entrez] AID - 10.1177/00099228221150687 [doi] PST - ppublish SO - Clin Pediatr (Phila). 2023 Sep;62(8):879-884. doi: 10.1177/00099228221150687. Epub 2023 Jan 23.