Clinical Case Database / Category: Case Based Discussion
Generalised convulsive status epilepticus
Publication details
Rhys Thomas MBChB BSc MRCP
Foundation Years Journal, volume 2, issue 1, p.40 (123Doc Education, London, January 2008)
Abstract
A 48 year old man is brought to A&E by his partner. You are on call for medicine and have been asked to see him. He had his first fit earlier today and now has had a second seizure whilst waiting to see you which has not stopped by itself. The Sister in A&E asks whether you could please see him immediately. On examination there are brisk jerking movements of both arms and legs with accompanying loss of consciousness. He is apyrexial and is not known to have previously had seizures. What do you do?
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Authors
Rhys Thomas MBChB BSc MRCP (Corresponding author)
Speciality Registrar
Neuro-Rehabilitation Unit
Rookwood Hospital
Cardiff
CF5 2YN
References
1. Treiman DM. Treatment of convulsive status epilepticus. Iny Rev Neurobiol. 2007;81:273-85.
2. Lowenstein DH, Alldredge BK. Status epilepticus at an urban public hospital in the 1980s. Neurology 1993, 43:483-488.
3. Lowenstein DH, Bleck T, Macdonald RL. It’s time to revise the defiition of status epilepticus. Epilepsia. Jan 1999;40(1):120-2.
4. Towne AR. Epidemiology and outcomes of status epilepticus in the elderly Iny Rev Neurobiol. 2007;81:111-27.
5. Lowenstein DH, Alldredge BK. Status epilepticus. N Engl J Med. 1998; 338(14):970-6.
6. Walker MC, Treatment of nonconvulsive status epilepticus. Int Rev Neurobiol. 2007; 81:287-97.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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