Differences in Early Recognition and Management of Convulsive vs. Nonconvulsive Status Epilepticus

Researchers identify risk factors for and consequences of missing the diagnosis of out-of-hospital nonconvulsive status epilepticus.

Increasingly, evidence supports early prehospital recognition and treatment of status epilepticus (SE). Yet little is known about the impact of early recognition and prompt treatment of different types of SE. Researchers analyzed data from an observational cohort of 213 patients in either convulsive (CSE; n=26) or nonconvulsive status epilepticus (NCSE; n=124) admitted from out of hospital to a single tertiary academic medical center during a 10-year period. Cases caused by global hypoxic–ischemic insult were excluded. The diagnosis of SE was initially missed in 55.3% of all cases: 79 (63.7%) of those with NCSE and 4 (15.4%) of those with CSE. Factors associated with missing the diagnosis of NCSE were older age and absence of a history of e…

Reviewing Author

Robert C. Knowlton, MD, MSPH

Disclosures

Consultant/Advisory BoardMore Health, Inc.; The Alliance of Medical Companies

Grant/Research SupportNIH Small Business Innovation Research

Leadership Positions in Professional SocietiesSouthern Epilepsy & EEG Society (Treasurer)

Robert C. Knowlton, MD, MSPH

Disclosures

Consultant/Advisory BoardMore Health, Inc.; The Alliance of Medical Companies

Grant/Research SupportNIH Small Business Innovation Research

Leadership Positions in Professional SocietiesSouthern Epilepsy & EEG Society (Treasurer)

Differences in Early Recognition and Management of Convulsive vs. Nonconvulsive Status Epilepticus

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Reviewing Author