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Document Details
Document Type
:
Article In Journal
Document Title
:
Status Epilepticus: Can the Incidence be Reduced?
هل يمكن خفض معدل الإصابة بالتشنجات المتواصلة؟
Document Language
:
English
Abstract
:
Objectives: To identify high risk groups for the development of convulsive status epilepticus (CSE) in an attempt to decrease the incidence and to determine both the time to access to medical care and the use of prehospital treatment in an attempt to reduce the duration of seizing. Methods: Retrospective study record analysis of all cases of CSE in children, at the King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia from June 1997 to June 2000. Results: During the study period there were 24 cases of CSE. The major etiologic factors were chronic neurological disorders, idiopathic epilepsy, and acute cerebral insults. All but one of the chronic epileptics in the study group had at least one identifiable risk factor for the evolution of breakthrough seizures into status epilepticus (SE). Mortality was 12.5% and chronic neuro-behavioral morbidity in previously normal children was 17%. The average total duration of seizing was 2.3 hours, with an average of 52 minutes prior to arrival in the hospital. Prehospital rectal diazepam was administered by the family in only 2 instances, and in both cases the patients were overdosed. Conclusion: The identification of risk factors for CSE can serve 2 purposes: Focus targeted patient and family education, and a checklist for emergency room personnel to recognize those presenting with breakthrough seizures who are susceptible to SE, aiding in management decision making. The incidence of SE can be reduced by abbreviating the duration of breakthrough seizures. This can be achieved both by more widespread yet proper use of rectal diazepam at home, and by auditing the process of patient or family education.
ISSN
:
0306-4522
Journal Name
:
Neurosciences
Volume
:
40
Issue Number
:
7
Publishing Year
:
2002 AH
2002 AD
Article Type
:
Article
Added Date
:
Wednesday, March 3, 2010
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
جمانة الاعمى
Al-Aama, Jumana
Researcher
Doctorate
على شعبط
Shaabat, Ali
Researcher
Doctorate
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Type
Description
25827.doc
doc
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