Abstract

Background: Non-convulsive status epilepticus (NCSE) is status epilepticus without obvious tonic–clonic activity. Patients with NCSE have altered mental state. An EEG is needed to confirm the diagnosis, but obtaining an...

Highlights

  • Non-convulsive status epilepticus (NCSE) is status epilepticus without obvious tonic–clonic activity

  • Convulsive status epilepticus is easy to diagnose by virtue of its obvious clinical manifestations

  • NCSE lacks the convulsions typically seen in status epilepticus; it, too, can cause neuronal injury.[3 7 8]

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Summary

Introduction

Non-convulsive status epilepticus (NCSE) is status epilepticus without obvious tonic–clonic activity. Objective: To determine whether clinical features could be used to predict which patients were more likely to be in NCSE and in need of an urgent EEG. Remote risk factors for seizures, severely impaired mental state, and ocular movement abnormalities were seen significantly more often in the NCSE group. The combined sensitivity of remote risk factors for seizures and ocular movement abnormalities was 100%. Conclusions: There are certain clinical features that are more likely to be present in patients in NCSE compared with other types of encephalopathy. Either remote risk factors for seizures or ocular movement abnormalities were seen in all patients in NCSE. These features may be used to select which patients should have an urgent EEG

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