First-ever Seizure Presenting as Status Epilepticus.
- Author:
In Beom SONG
1
;
Hee Jung SONG
;
Jae Moon KIM
;
Chin Sang CHUNG
Author Information
1. Department of Neurology, Medical College and Hospital, Chungnam National University, Korea.
- Publication Type:Original Article
- MeSH:
Anticonvulsants;
Brain;
Diagnosis;
Emergencies;
Humans;
Mortality;
Neuroimaging;
Prognosis;
Retrospective Studies;
Seizures*;
Status Epilepticus*
- From:Journal of the Korean Neurological Association
1994;12(4):686-693
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Status epilepticus (SE) is a neurological emergency that requires prompt diagnosis and treatment. Prognosis of SE depends mostly on the underlying illnesses and secondary brain damage from seizure activity. For early detection of poor prognostic factors in SE, we retrospectively analyzed 121 SE patients with their medical redords, laboratory findings, and neuroimaging studies. No single factor other than the previous history of seizure was associated with their prognosis. According to presence or absence of previous seizure history, they were divided into the first-ever seizure group (53 patients) and recurrent seizure group (68 patients). We compared both two groups in respect to demographic, neurological, and radiological features, response to antiepileptic drugs (AEDs), and short-term outcome of SE. The results stggest that the patients of the first-seizure group are older and have more frequent detectable etiological diseases, poor response to AEDs, and higher mortality, hence prognosis being worse than the recurrent-seizure group.
