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Progress in Clinical Neurosciences: Status Epilepticus: A Critical Review of Management Options

Published online by Cambridge University Press:  02 December 2014

Eelco F.M. Wijdicks  and
Nicholas D. Lawn
Eelco F.M. Wijdicks
Affiliation:
Department of Neurology, Neurological-Neurosurgical ICU, Mayo Clinic, Rochester, Minnesota, USA
Nicholas D. Lawn
Affiliation:
Department of Neurology, Royal Perth, Hospital, Perth, Australia
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Abstract

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Although generalized tonic-clonic status epilepticus (SE) is frequently seen, an evidence-based approach to management is limited by a lack of randomized clinical studies. Clinical practice, therefore, relies on a combination of expert recommendations, local hospital guidelines and dogma based on individual preference and past successes. This review explores selected and controversial aspects of SE in adults and provides a critical appraisal of currently recommended management strategies.

Résumé:

RÉSUMÉ:

Bien que l’état de mal épileptique tonique-clonique généralisé soit observé fréquemment, l’élaboration d’une approche de traitement fondée sur des preuves scientifiques est limitée par le manque d’études cliniques randomisées. La pratique Clinique est donc basée sur une combinaison de recommandations d’experts, de lignes directrices émises par l’hôpital local et de dogmes basés sur les préférences individuelles et les succès du passé. Cette revue explore des aspects sélectionnés et controversés de l’état de mal épileptique chez les adultes et fournit une évaluation critique des stratégies thérapeutiques présentement recommandées.

Type
Review Article
Information
Canadian Journal of Neurological Sciences , Volume 29 , Issue 3 , August 2002 , pp. 206 - 215
Copyright
Copyright © Canadian Neurological Sciences Federation 2002

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