Nonconvulsive status epilepticus: clinical features and diagnostic challenges.

摘要: NCSE, once thought to be a rare disorder, should considered in any patient presenting with an alteration mental status of indeterminate cause. The psychiatrist needs aware the different clinical characteristics this disorder as well similarities and differences from psychiatric disorders. A history seizure is not necessary for diagnosis, nor motor activity necessarily associated NCSE. An EEG required confirm diagnosis performed when possible, because early recognition treatment may improve outcome. There usually good response intravenous benzodiazepine; has been delayed, other anticonvulsants have used adjuncts. distinguish AS CPS so that, indicated, proper long-term antiepileptic drug therapy can started. Although NCSE described literature many years, there still great need carefully designed prospective studies help define clear guidelines assist management decision making and, ultimately, outcomes.