Status epilepticus in the elderly: differential diagnosis and treatment

Elizabeth Ann Mauricio, William David FreemanMayo Clinic, Jacksonville, FL, USADate of Preparation 28th January 2011 Conflict of interest: None declaredAbstract: Seizures are not an uncommon occurrence in older adults, and the incidence of status epilepticus is much greater in the elderly than in yo...

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Autores principales:	Mauricio EA, Freeman WD
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/0cee0073020343fda48904ecb7d0a9a6
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spelling	oai:doaj.org-article:0cee0073020343fda48904ecb7d0a9a62021-12-02T02:47:26ZStatus epilepticus in the elderly: differential diagnosis and treatment1176-63281178-2021https://doaj.org/article/0cee0073020343fda48904ecb7d0a9a62011-03-01T00:00:00Zhttp://www.dovepress.com/status-epilepticus-in-the-elderly-differential-diagnosis-and-treatment-a6881https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Elizabeth Ann Mauricio, William David FreemanMayo Clinic, Jacksonville, FL, USADate of Preparation 28th January 2011 Conflict of interest: None declaredAbstract: Seizures are not an uncommon occurrence in older adults, and the incidence of status epilepticus is much greater in the elderly than in younger populations. Status epilepticus is a neurologic emergency and requires prompt intervention to minimize morbidity and mortality. Treatment involves both supportive care as well as initiation of medications to stop all clinical and electrographic seizure activity. Benzodiazepines are used as first-line agents, followed by antiepileptic drugs when seizures persist. In refractory status epilepticus, urgent neurologic consultation is indicated for the titration of anesthetic agents to a level of appropriate background suppression on EEG. In light of our aging population, physician awareness and competence in the management of status epilepticus is imperative and should be recognized as a growing public health concern.Keywords: status epilepticus, convulsive, generalized, nonconvulsive, refractory, elderly, treatment&nbsp; Mauricio EAFreeman WDDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2011, Iss Issue 1, Pp 161-166 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Mauricio EA Freeman WD Status epilepticus in the elderly: differential diagnosis and treatment
description	Elizabeth Ann Mauricio, William David FreemanMayo Clinic, Jacksonville, FL, USADate of Preparation 28th January 2011 Conflict of interest: None declaredAbstract: Seizures are not an uncommon occurrence in older adults, and the incidence of status epilepticus is much greater in the elderly than in younger populations. Status epilepticus is a neurologic emergency and requires prompt intervention to minimize morbidity and mortality. Treatment involves both supportive care as well as initiation of medications to stop all clinical and electrographic seizure activity. Benzodiazepines are used as first-line agents, followed by antiepileptic drugs when seizures persist. In refractory status epilepticus, urgent neurologic consultation is indicated for the titration of anesthetic agents to a level of appropriate background suppression on EEG. In light of our aging population, physician awareness and competence in the management of status epilepticus is imperative and should be recognized as a growing public health concern.Keywords: status epilepticus, convulsive, generalized, nonconvulsive, refractory, elderly, treatment&nbsp;
format	article
author	Mauricio EA Freeman WD
author_facet	Mauricio EA Freeman WD
author_sort	Mauricio EA
title	Status epilepticus in the elderly: differential diagnosis and treatment
title_short	Status epilepticus in the elderly: differential diagnosis and treatment
title_full	Status epilepticus in the elderly: differential diagnosis and treatment
title_fullStr	Status epilepticus in the elderly: differential diagnosis and treatment
title_full_unstemmed	Status epilepticus in the elderly: differential diagnosis and treatment
title_sort	status epilepticus in the elderly: differential diagnosis and treatment
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/0cee0073020343fda48904ecb7d0a9a6
work_keys_str_mv	AT mauricioea statusepilepticusintheelderlydifferentialdiagnosisandtreatment AT freemanwd statusepilepticusintheelderlydifferentialdiagnosisandtreatment
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Status epilepticus in the elderly: differential diagnosis and treatment

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