Ppt status epilepticus powerpoint presentation free to. Refractory status epilepticus is defined as recurrent seizures in spite of treatment with two anticonvulsants including a benzodiazepine. Hargai penyesuaian diri klien diri untuk merubah body image 2. Ccsap 2017 book 3 neurocritical caretechnology in the icu 8 status epilepticus alldredge 2001, brophy 2012. Aug 01, 2003 status epilepticus is an underrecognized health problem associated with substantial morbidity and mortality. They were subsequently adopted by the advanced life support group alsg and taught in their courses across the uk and europe. We would like to show you a description here but the site wont allow us. You may need multiple medicines to control or stop your seizures.
Refractory status epilepticus can occur in 9% to 40% of the patients with status epilepticus,14. It is essentially an acute, prolonged epileptic crisis. Sebelum membahas penyakit ini, terlebih dahulu diingatkan kembali mengenai batasan dari epilepsi. Epidemiology the incidence of status epilepticus in the general population was reported. Proposed algorithm for convulsive status epilepticus. For a pdf summary highlighting the main points of this video, click here. Status epilepticus literally means a continuous state of seizure. The definition of status epilepticus as a prolonged seizure or a series of seizures with incomplete return to baseline is under reconsideration in an effort to establish a more practical definition to guide management. Pola toleransi dan koping stress adakah stress dan gangguan emosi i. Position paper of the italian league against epilepsy on the treatment of status epilepticus. Your healthcare provider will treat the underlying cause of your seizure if it is known. Any seizure lasting longer than what period of time is defined as status epilepticus. Dec 23, 2019 diagnosis and treatment of epilepsy,epilepsia, 48 suppl. Mar 10, 2020 convulsive status epilepticus is defined as a convulsive seizure which continues for a prolonged period longer than five minutes, or when convulsive seizures occur one after the other with no recovery between.
Jan 11, 2012 guidelines for treating convulsive status epilepticus in children published in 2011 the original guidelines for the treatment of convulsive status epilepticus cse were published in 2000. Status epilepticus is a common, lifethreatening neurologic disorder. Whereas mortality depends mainly on the age of the patient as well as the cause, morbidity is often due to the myriad of complications that occur during prolonged admission to an intensive care environment. The prognosis after unprovoked seizures and ass differs with regard to risk of seizure recurrence and mortality. Pencitraan otak, lebih sering digunakan mri daripada ct scan, adalah bagian yang penting dari penilaian epilepsi tipe fokal, dan di beberapa kasus epilepsi tipe yang tidak menentu. The clinical conditions contemplated by this algorithmguideline will not. In order to analyze the clinical characteristics and outcome in patients with ncse, we examined the medical records of patients with ncse admitted to the seoul national university hospital between june 2005 and october 2008. The clinical features and diagnosis of convulsive status epilepticus in adults are discussed here. Status epilepticus is when a seizure lasts longer than 5 minutes or when seizures occur close together and the person doesnt recover between seizures. Since 1979 there have been over 4,000 publications on the subject, including more than. Status epilepticus is a lifethreatening medical emergency, particularly if treatment is delayed. Successful treatment depends upon the recognition of prolonged seizure activity and the acute mobilization of available resources.
Status epilepticus is a neurological emergency that is commonly encountered by the neurohospitalist. Status epilepticus in children adult pregnancy childbearing. Konvulsivt status epilepticus behandlas med bensodiazepiner foljt av antiepileptika och anestesibehandling om tillstandet inte upphor. Feb, 2018 refractory and superrefractory status epilepticus. It is not intended to establish a community standard of care, replace a clinicians medical judgment, or establish a protocol for all patients.
The seizures can be of the tonicclonic type, with a regular pattern of. Convulsive status epilepticus requires emergency treatment by trained medical personnel in a hospital setting. Status epilepticus international league against epilepsy. Kejang versify terdiri atas pemutaran kepala dan gerakan mata gabungan adalah sangat lazim. Status epilepticus hos barn och vuxna lakartidningen. Pdf status epilepticus is the most severe form of epilepsy, with a high mortality rate and high health care costs. This emergency situation is when a seizure lasts longer than 5 minutes or when seizures occur close together without recovery in between. When the protocol is initiated it is important to consider what prehospital treatment has been received and to modify the protocol accordingly.
Status epilepticus management information page patient. These underlying brain problems may include trauma, infections, or strokes among others. Some forms of status epilepticus are associated with an excellent prognosis, while others can have major morbidity or even mortality. Although nonconvulsive status epilepticus ncse is an important type of epilepsy, it is not often recognized.
Status epilepticus can be categorized accordingtoageatonset,etiology,andclinical and eeg features table 121. Self assessment quiz status epilepticus see related pages 1. In status epilepticus seizures appear in close succession or dont stop. Interest in status epilepticusthe most extreme form of epilepsy, involving continuous seizureshas surged in the last 20 years. It is a serious condition that requires prompt medical attention. Learn about the physiology and medical therapy for patients with status epilepticus. Status epilepticus most seizures end after a few moments or a few minutes. Tingkat mortalitas status epileptikus didefinisikan sebagai kematian dalam 30 hari status epileptikus adalah 22% studi richmond. Status epilepticus in adults john p betjemann, daniel h lowenstein status epilepticus is a common neurological emergency with considerable associated healthcare costs, morbidity, and mortality. Support airway high flow oxygen consider reversible causes dont ever forget glucose vascular access. Jun 30, 2019 status epileptikus perdossi algoritma status epileptikus pada dewasa menurut perdosifull description.
Epilepsi adalah suatu keadaan yang ditandai oleh bangkitan seizure berulang sebagai akibat dari adanya gangguan fungsi. For other forms of status epilepticus, the treatment depends on the type of seizures and the patients general condition. This is less common than tonicclonic status epilepticus. Walaupun di indonesia belum merupakan problem kesehatan masyarakat yang besar.
An estimated 152,000 cases occur per year in the united states, resulting in 42,000. Status epilepticus may occur in those with a history of epilepsy as well as those with an underlying problem of the brain. The term literally means a continuous state of seizure. Gerenjit dapat tertekan sebentar, tetapi kejang parsial tidak klasifikasj dikendalikan. Etiology and prognosis of nonconvulsive status epilepticus. If seizures are prolonged, or occur in a series, there is an increased risk of status epilepticus. Pada orang dewasa, penyebab utama adalah rendahnya kadar obat anti epilepsi 34% dan penyakit serebrovaskuler 22%, termasuk stroke akut atau stroke lama dan perdarahan. Kejang versify terdiri atas pemutaran kepala dan gerakan mata gabungan adalah sangat sattus. Patients with nonconvulsive status epilepticus fare worse, with a mortality rate approaching 65% within 1 month of the epileptic event treiman 1998. Status epilepticus is defined as a continuous, generalized, convulsive seizure lasting more than 5 minutes, or two or more seizures during which the patient does not return to baseline consciousness. Refractory status epilepticus has a mortality rate of up to 76% in elderly patients 1,15.
Refractory status epilepticus rse is usually deined as seizure activity that continues after irst and secondline therapy has failed 12. Management of status epilepticus american family physician. Appendix c protocol for treating status epilepticus in adults. Status epilepticus is usually defined as 30 minutes of uninterrupted seizure activity. You may also need other treatments if status epilepticus causes problems with breathing or circulation. For someone who has seizures, theyre normally similar in length each time they occur and typically stop once that time period has passed.
572 1283 875 1275 1025 1432 1195 568 844 1251 164 130 981 1236 582 655 482 966 453 1574 803 503 1571 244 1416 1283 1269 811 900 797 863 764 918 1043 570