Non-Convulsive Status Epilepticus as a cause for prolonged delirium: an under-diagnosed phenomenon?

Non-Convulsive Status Epilepticus as a cause for prolonged delirium: an under-diagnosed phenomenon?

Abstract

Delirium is a common cause for acute hospital admissions. There are many potential causes for this presentation, including infection, polypharmacy and metabolic disorders. We present the case of a patient with hyponatraemia and prolonged delirium, in whom the diagnosis of non-convulsive status epilepticus (NCSE) was made following electroencephalography (EEG).

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References

  1. Alroughani R, Javidam M, Qasam A, et al. Non-convulsive status epilepticus; the rate of occurrence in a general hospital. Seizure 2009; 18(1): 1.59–1311.
  2. Meierkord H, Holtkamp M. Non-convulsive status epilepticus in adults: Clinical forms and treatment. Lancet Neurol 2007; 6:329–39.
  3. Walker M, et al. Nonconvulsive status epilepticus: Epilepsy Research Foundation Workshop Reports. Epileptic Disord 2005;7(3): 253–96.
  4. Holtkamp M, Meierkord H. Nonconvulsive status epilepticus; a diagnostic and therapeutic challenge in the intensive care setting. Ther Adv Neurol Disord 2011; 4/3: 169–181.
  5. Scholtes FB, Renier WO, Meinardi H. Non-convulsive status epilepticus: causes, treatment and outcome in 65 patients. J Neurol Neurosurg Psychiatry 1996; 61: 93–5.
  6. Epstein D, Diu E, Abeysekera T, et al. Review of non-convulsive status epilepticus and an illustrative case history manifesting as delirium. Australas J Ageing 2009; 28: 110–115.
  7. Lauretani F, Maggio M, Nardelli A, et al. Is non-convulsive status (NCSE) undertreated in patients affected by dementia? Aging Clin Exp Res 2008; 21(4–5): 363–4.
  8. Litt B, Wityk RJ, Hertz SH, et al. Nonconvulsive status epilepticus in the critically ill elderly. Epilepsia 1998; 39: 1194–1202.

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Non-Convulsive Status Epilepticus as a cause for prolonged delirium: an under-diagnosed phenomenon?

14th March 2016
PMID: 23364106
Authors Affiliations
Ben Lovell Consultant in Acute Medicine, University College London Hospitals, London
M Lander MBBS, BSc (Hons) Foundation Year 2 Basildon & Thurrock University Hospital
Rupert Negus Acute Medical Service, The Royal Free Hospital, The Royal Free London NHS Foundation Trust, Pond Street Hampstead, London NW3 2QG

Non-Convulsive Status Epilepticus as a cause for prolonged delirium: an under-diagnosed phenomenon?

Cite this article as:

Lovell B, Lander M, Negus R. Non-Convulsive Status Epilepticus as a cause for prolonged delirium: an under-diagnosed phenomenon? Acute Med. 2012;11(4):222-5. PMID: 23364106.

Non-Convulsive Status Epilepticus as a cause for prolonged delirium: an under-diagnosed phenomenon?

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