چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| محمدامین فرضی | اول |
| عنوان | متن |
|---|---|
| خلاصه مقاله | ackground: Status epilepticus is a medical and neurologic emergency that requires prompt evaluation and treatment.Refractory status occurs in approximately 20 percent of patients with status epilepticus Definition – The International League Against Epilepsy (ILAE) follows the operational definition of generalized convulsive status epilepticus as having a duration of five minutes. RSE, however, is not defined by duration, but rather as status epilepticus that does not cease with administration of two antiseizure medications (administered in appropriate and adequate doses); usually an intravenous benzodiazepine, followed, if necessary, by a longer-acting antiseizure medication. RSE occurs in approximately one-quarter of status epilepticus cases and has higher morbidity and mortality. Super-refractory status epilepticus (SRSE) is defined as status epilepticus persisting or recurring after 24 hours or more of treatment with anesthetic drugs. Management: For patients with generalized convulsive refractory status epilepticus (RSE), essential management steps include transfer to an intensive care unit with continuous electroencephalography (cEEG) capability, intubation and mechanical ventilation, and highly sedating pharmacologic therapy to suppress seizures. Beyond pharmacotherapy, ketogenic diet, epilepsy surgery and neuromodulation and in cases with new onset refractory status epilepticus(NORSE) immunotherapy also should be in consideration. |
| کلمات کلیدی | Keywords: Status epilepticus, refractory status epilepticus, super-refractory status epilepticus, NORSE |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Treatment of Refractory Status Epilepticus.pdf | 1404/08/21 | 48576 | دانلود |
| گواهي سخنراني.pdf | 1404/08/21 | 121262 | دانلود |
