Managing Critically III Patients with Status Epilepticus

  • S. Legriel
  • J. P. Bedos
  • E. Azoulay
Conference paper


Status epilepticus is a major medical emergency that is fatal in 7.6–22% of cases [1, 2]. The incidence per 100,000 population has been estimated at 9.9 episodes in Europe and 41 episodes in the USA [2]. Status epilepticus is a clinical and electrical entity in which the broad spectrum of clinical presentations may lead to over-or underdiagnosis. Status epilepticus may be convulsive, i.e., accompanied by motor activity, or nonconvulsive. Continuous or repeated electrical seizures without recovery of consciousness characterizes both forms of status epilepticus. Morbidity and mortality rates differ between convulsive and nonconvulsive status epilepticus, and each requires a specific treatment strategy. Knowledge of the current definition and electroclinical classification of status epilepticus, as well as familiarity with differential diagnoses, is essential to ensure appropriate treatment.


Status Epilepticus Therapeutic Hypothermia Migraine With Aura Sodium Valproate Refractory Status 
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Copyright information

© Springer Science + Business Media Inc. 2008

Authors and Affiliations

  • S. Legriel
    • 1
  • J. P. Bedos
    • 2
  • E. Azoulay
    • 1
  1. 1.Department of Intensive CareHopital Saint-LouisParisFrance
  2. 2.Department of Intensive Care MedicineHopital Andre MignotLe ChesnayFrance

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