Clinical characteristics of status epilepticus in an emergency hospital: imortance of nonconvulsive status epilepticus
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- Yoshimura Hajime
- Department of Neurology, Kobe City Medical Center General Hospital
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- Takano Shin
- Department of Neurology, Kobe City Medical Center General Hospital
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- Kawamoto Michi
- Department of Neurology, Kobe City Medical Center General Hospital
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- Beppu Minako
- Department of Neurology, Kobe City Medical Center General Hospital
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- Ohara Nobuyuki
- Department of Neurology, Kobe City Medical Center General Hospital
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- Kobayashi Junya
- Department of Neurology, Kobe City Medical Center General Hospital
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- Kuzuya Akira
- Department of Neurology, Kobe City Medical Center General Hospital
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- Yamagami Hiroshi
- Department of Neurology, Kobe City Medical Center General Hospital
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- Kohara Nobuo
- Department of Neurology, Kobe City Medical Center General Hospital
Bibliographic Information
- Other Title
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- 救急現場におけるてんかん重積状態の臨床的特徴~非痙攣性てんかん重積状態nonconvulsive status epilepticusの重要性について~
- キュウキュウ ゲンバ ニ オケル テンカン ジュウセキ ジョウタイ ノ リンショウテキ トクチョウ ヒケイレンセイ テンカン ジュウセキ ジョウタイ nonconvulsive status epilepticus ノ ジュウヨウセイ ニ ツイテ
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Abstract
Although nonconvulsive status epilepticus (NCSE) is a major neurological emergency, its frequency and clinical course are not well clarified. We investigated the clinical characteristics of status epilepticus focusing on the significance of NCSE. One thousand seven hundred twenty-three patients were admitted as neurological emergency cases in our hospital between October 2003 and September 2006. Of these cases, 94 (5.5%) were diagnosed as status epilepticus of which, 24 (25.5%) were diagnosed with NCSE on admission. Moreover, 8 patients who presented with convulsive status epilepticus on admission had episodes of NCSE during hospitalization. Thus, 32 patients (34.0%) suffered from NCSE during their clinical course. We analyzed the prognostic factors of status epilepticus using the Glasgow Outcome Scale. Poor outcome was significantly correlated with NCSE (p=0.003) and acute cerebrovascular disease (p=0.010), independent of age, sex, history of epilepsy, and other etiologies. Our study revealed that NCSE is not a rare condition and results in a poor outcome. Careful EEG evaluation of patients with consciousness disturbance might increase the diagnostic accuracy of NCSE, and aggressive treatment of patients with NCSE should be necessary to improve the prognosis of NCSE.<br>
Journal
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- Rinsho Shinkeigaku
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Rinsho Shinkeigaku 48 (4), 242-248, 2008
Societas Neurologica Japonica
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Keywords
Details 詳細情報について
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- CRID
- 1390001205036119808
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- NII Article ID
- 10021187416
- 130004504490
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- NII Book ID
- AN00253207
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- ISSN
- 18820654
- 0009918X
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- NDL BIB ID
- 9480006
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed