Abstract
A 23-year-old male with a history of localization-related epilepsy was taking Carbamazepine, 400 mg PO BID. His epilepsy would manifest as recurrent focal seizures that intermittently progressed to convulsions. He was seizure-free as long as he remained compliant with his AED. He was reported to have recently been away on a camping trip with several of his friends. While he was away, he was sleep-deprived due to staying up until late hours of the early morning. Shortly after midnight he developed a “grand mal” seizure. This repeated two more times and his friends called 911 for help. He was transported to the nearest hospital and had persistent impairment of his consciousness. In the Emergency Department (ED), he did not answer questions and was “just staring at the nurses”. A brain CT was unrevealing. Laboratory evaluation did not demonstrate any abnormalities in his electrolytes or complete blood count with differential. A toxicology screen was negative for illicit substances and alcohol. A carbamazepine level was non-detectable.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Bibliography
Kaplan PW. The EEG, of status epilepticus. J Clin Neurophysiol. 2006;23(3):221–9.
Lowenstein DH, Cloyd J. Out-of-hospital treatment of status epilepticus and prolonged seizures. Epilepsia. 2007;48 Suppl 8:96–8.
Silbergleit R, Durkalski V, Lowenstein D, Conwit R, Pancioli A, Palesch Y, Barsan W, NETT Investigators. Intramuscular versus intravenous therapy for prehospital status epilepticus. N Engl J Med. 2012;366(7):591–600.
Treiman DM, Meyers PD, Walton NY, et al. A comparison of four treatments for generalized convulsive status epilepticus. Veterans Affairs Status Epilepticus Cooperative Study Group. N Engl J Med. 1998;339(12):792–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Sirven, J.I. (2014). Status Epilepticus Convulsive. In: Tatum, W., Sirven, J., Cascino, G. (eds) Epilepsy Case Studies. Springer, Cham. https://doi.org/10.1007/978-3-319-01366-4_36
Download citation
DOI: https://doi.org/10.1007/978-3-319-01366-4_36
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-01365-7
Online ISBN: 978-3-319-01366-4
eBook Packages: MedicineMedicine (R0)