Complex partial status epilepticus
Complex partial status epilepticus
Classification & external resources
| ICD-10 |
G41.2 |
| eMedicine |
neuro/114 |
| MeSH |
D013226 |
Complex Partial Status Epilepticus (CPSE) is one of the non-convulsive forms of Status epilepticus, a rare form of epilepsy defined by its recurrent nature. CPSE is characterized by seizures involving long-lasting stupor, staring and unresponsiveness.[1] Sometimes this is accompanied by motor automatisms, such as eye twitching.[2]
Diagnosis
As is the case with other non-convulsive status epilepticus forms, CPSE is dangerously underdiagnosed.[3] This is due to the potentially fatal yet veiled nature of the symptoms. Usually, an Electroencephalogram, or EEG, is needed to confirm a neurologist's suspicions. The EEG is also needed to differentiate between absence status epilepticus (which affects the entire brain), and CPSE, which only affects one region.[4]
Treatment
Treatment is in the form of anti-epileptic drugs, such as barbituates, benzodiazepines and topiramate.
References
- ^ neuro/114 at eMedicine
- ^ Fernández-Torre JL, Gutiérrez-Pérez R, Velasco-Zarzosa M (2003). "Non-convulsive status epilepticus" (in Spanish; Castilian). Revista de neurologia 37 (8): 744-52. PMID 14593634.
- ^ Murthy JM (2003). "Nonconvulsive status epilepticus: An under diagnosed and potentially treatable condition". Neurology India 51 (4): 453-4.
- ^ Husain AM, Horn GJ, Jacobson MP (2003). "Non-convulsive status epilepticus: usefulness of clinical features in selecting patients for urgent EEG". J. Neurol. Neurosurg. Psychiatr. 74 (2): 189-91. PMID 12531946.
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Nervous system pathology, primarily CNS (G00-G47, 320-349) |
Inflammatory diseases
of the CNS |
Meningitis (Arachnoiditis) - Encephalitis - Myelitis - Encephalomyelitis (Acute disseminated) - Tropical spastic paraparesis |
Systemic atrophies
primarily affecting the CNS |
Huntington's disease - Spinocerebellar ataxia (Friedreich's ataxia, Ataxia telangiectasia, Hereditary spastic paraplegia)
Spinal muscular atrophy: Werdnig-Hoffman disease - Kugelberg-Welander disease - Fazio Londe syndrome -
MND (Amyotrophic lateral sclerosis (ALS), Progressive muscular atrophy (PMA), Progressive bulbar, Pseudobulbar, PLS) |
Extrapyramidal and
movement disorders |
Parkinson's disease - Neuroleptic malignant syndrome - Postencephalitic parkinsonism - Pantothenate kinase-associated neurodegeneration - Progressive supranuclear palsy - Striatonigral degeneration - Dystonia (Spasmodic torticollis, Meige's syndrome, Blepharospasm) - Essential tremor - Myoclonus - Chorea (Choreoathetosis) - Restless legs syndrome - Stiff person syndrome |
Other degenerative /
demyelinating diseases |
Alzheimer's disease - Pick's disease - Alpers' disease - Dementia with Lewy bodies - Leigh's disease - Multiple sclerosis - Devic's disease - Central pontine myelinolysis - Transverse myelitis |
| Seizure/epilepsy |
Focal (Simple partial, Complex partial) - Generalised (Tonic-clonic, Absence, Atonic, Benign familial neonatal) - Lennox-Gastaut - West - Epilepsia partialis continua - Status epilepticus (Complex partial status epilepticus) |
| Headache |
Migraine (Familial hemiplegic) - Cluster - Vascular - Tension |
| Vascular |
Transient ischemic attack (Amaurosis fugax, Transient global amnesia) - Cerebrovascular disease (MCA, ACA, PCA, Foville's syndrome, Millard-Gubler syndrome, Lateral medullary syndrome, Weber's syndrome, Lacunar stroke) |
| Sleep disorders |
Insomnia - Hypersomnia - Sleep apnea (Ondine's curse) - Narcolepsy - Cataplexy - Kleine-Levin syndrome - Circadian rhythm sleep disorder - Delayed sleep phase syndrome - Advanced sleep phase syndrome |
| Other |
Hydrocephalus (Normal pressure) - Idiopathic intracranial hypertension - Encephalopathy - Brain herniation - Cerebral edema - Reye's syndrome - Syringomyelia - Syringobulbia - Spinal cord compression |
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