Clinical Profile of Patients with Status Epilepticus from Rural Area
Journal Title: People's Journal of Scientific Research. - Year 2016, Vol 9, Issue 2
Abstract
Status epilepticus (SE) is a neurological emergency associated with significant morbidity and mortality, if not treated effectively in time. An attempt was made to generate the baseline data regarding the etiologies and clinical profile of SE. A total of 50 patients diagnosed on clinical grounds as SE were analyzed for different parameters. SE was found more common in males and in the age group 21-40 years. Most common etiology was acute symptomatic (68%). Seven patients subjected to lumbar puncture and CSF analysis revealed TB meningitis (three), viral etiology (three) and pyogenic meningitis (one). Of the 50 patients, 44 (88%) responded to the first-line drugs and six (12%) patients required second-line drugs. Five patients (10%) succumbed to death due to massive intra-cerebral bleeding (two), endosulfan poisoning (one), Japanese encephalitis with refractory SE (one) and primary epilepsy with intractable seizures (one). Age, gender and etiology of SE were found to be non-significant. Results indicate that SE can occur in epileptic as well as non-epileptic individuals. Early recognition, good knowledge of various etiologies, prompt initiation of therapy and availability of ventilatory facility as well as ICU care is of paramount importance in the management of SE.
Authors and Affiliations
Sanjay Jagtap, , Suryakant Nisale, , Makaryand Yelpale, , Basavraj Nagoba
Keywords
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