Status Epilepticus in Srinagarind Hospital

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Somsak Tiamkao
Suthipun Jitpimolmard
Verajit Chotmongkol

Abstract

Background : Status  epilepticus  (SE)  is  an  emergency  condition  and  contributes  to  high  mortality  rate  if  patients  were  misdiagnosed  and  improperly  managed

Objective: To  describe  characteristics  and  management  of  patients  with  SE  in  Srinagarind  Hospital.

Setting : Medical  ward,  Srinagarind  Hospital,  Faculty  of  Medicine,  Khon  Kaen  University.

Patients: Patients  diagnosed  as  SE,  between  1990-1996.

Design : Descriptive  study.

Results : Thirty  cases  were  diagnosed  as  SE,  18  male,  and 12 female.  Types  of  seizures  were  generalized  tonic – clonic  sezure  (GTC)  in  25 cases  and  epilepsia  partialis  continua  in  5  cases. Seven  cases  were  diagnosed  as  having  epilepsy  in the  past.  Causes  of  SE  (GTC)  were  CNS  infection in 7 cases,  antiepileptic  drug  withdrawal  in  6  cases,  post  arrest  in  3  cases,  antiepileptic drug  withdrawal  in  6 cases,  post  arrest  in  3 cases,  hyperglycemia  in 1 case,  hypertensive  encep-halopathy  in 1 case  and  unknown  in  4 cases.  Eighteen  GTC  patients  were  improperly   managed (72.00%) ,the common  causes  were  too  low  phenytoin  for  loading  dose  and  incorrect  diagnosis.  Mortality  rate  was 56.00% ,  cause  of  death  were  sepsis  and  brain  herniationh.

Conclusion : SE  is  an  emergency  condition,  common causes  were  CNS  infection  and  antiepileptic  drug  withdrawal  and  contributed  to  high  mortality  rate  of  56.00%.  Eighteen  patients  (72.00%) were  improperly  managed.

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How to Cite
1.
Tiamkao S, Jitpimolmard S, Chotmongkol V. Status Epilepticus in Srinagarind Hospital. SRIMEDJ [Internet]. 2013 Nov. 20 [cited 2024 Mar. 29];12(2):64-8. Available from: https://li01.tci-thaijo.org/index.php/SRIMEDJ/article/view/13984
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