A Narrative Review of Non-Convulsive Status Epilepticus in Adults in Intensive Care

Authors

  • Hallie Kelly University Clinical Health
  • Juan Vanderbilt University Medical Center
  • Cat Tristar Centennial Medical Center
  • Brittany

DOI:

https://doi.org/10.29173/ijcc33

Keywords:

Nonconvulsive Status Epilepticus, sub-clinical seizures, elctroencephalogram, epilepsy, ketogenic diet

Abstract

ABSTRACT

Background

Seizures are common in the Neurocritical Intensive Care Unit. Early identification and treatment of clinical and sub-clinical seizures remain important in managing the neurologically critically ill patient.

Aim

The aim of this narrative review is to provide an overview of the different types of sub-clinical seizures, diagnosis and detection, correlative physiology, and the importance of prompt treatment.

Methods

A group of physicians, advanced practice providers, and pharmacists performed a literature search based on their area of expertise and provided the most relevant evidence for the narrative review.

Findings

There are many types of subclinical seizures and pharmaceutical interventions. Seizures can be complex and early treatment is crucial to good outcomes.

Conclusions

This review is a narrative overview of sub-clinical seizures seen in the Neurocritical care unit. It is written for all practicing providers to describe the physiology, identification, and treatment of sub-clinical seizures to facilitate improved patient outcomes.

Author Biographies

Juan , Vanderbilt University Medical Center

Epilepsy Fellow at Vanderbilt University Medical Center, Department of Neurology 

Cat, Tristar Centennial Medical Center

Critical Care Clinical Pharmacy Specialist at Tristar Centennial Medical Center in Nashville, TN, USA. 

Brittany

Acute Care Nurse Practitioner at Methodist Unversity Hosptial, Memphis, TN, USA; Employed by University Clinical Health 

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Published

2023-04-30

How to Cite

Kelly, H., Goyanes, M.D, J. J., Moore, Pharm D. , C. H., & Hudson, DNP , B. (2023). A Narrative Review of Non-Convulsive Status Epilepticus in Adults in Intensive Care . International Journal of Critical Care, 16(3). https://doi.org/10.29173/ijcc33

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