Non-Convulsive Status Epilepticus at Pediatric Intensive Care Unit:A Single Center Experience

Authors

  • Rania H Shatla Children`s Hospital, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt Author
  • Omnia F El-Rashiedy Pediatric Neurology Unit, Departments of Pediatrics, Ain Shams University, Cairo, Egypt Author
  • Hanan M Ibrahim Pediatrics Intensive Care Unit, Ain Shams University, Cairo, Egypt Author

DOI:

https://doi.org/10.47363/JPRRR/2021(3)117

Keywords:

Non-convulsive status epilepticus, EEG monitoring, Pediatric Intensive Care Unit

Abstract

Objective: Our study aims to estimate the incidence of non-convulsive status epilepticus (NCSE) in comatose children and to evaluate response to acute treatment with anticonvulsants.


Material and methods: This is a prospective observational cohort study conducted in Pediatric Intensive Care Unit (PICU) of Ain-Shams University. Eighty patients presented with Glasgow coma scale (GCS) <8 and/or the presence of abnormal movements or vital sign fluctuations were enrolled in the study. All were subjected to EEG monitoring for at least 1 hour within 24 hours of presentation. Patients diagnosed as NCSE received anticonvulsant treatment and were reevaluated clinically and by EEG after 1 week.


Results: Twenty four patients were diagnosed as NCSE (30%). EEG was normalized in 50% of patients after treatment. Conclusion: NCSE is possible to be under-recognized in the PICU settings because of the pleomorphic clinical features. Clinical suspension of NCSE and
EEG monitoring for critically ill comatose children will improve their outcome.

Author Biographies

  • Rania H Shatla, Children`s Hospital, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt

    Rania Hamed Shatla, Children`s Hospital, Faculty of Medicine, Ain Shams University, Abbassia, Cairo, Egypt

  • Omnia F El-Rashiedy, Pediatric Neurology Unit, Departments of Pediatrics, Ain Shams University, Cairo, Egypt

    Pediatric Neurology Unit, Departments of Pediatrics, Ain Shams University, Cairo, Egypt

  • Hanan M Ibrahim, Pediatrics Intensive Care Unit, Ain Shams University, Cairo, Egypt


    Pediatrics Intensive Care Unit, Ain Shams University, Cairo, Egypt

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Published

2021-01-21

Issue

Vol. 3 No. 1 (2021): Volume 3 Issue 1

Section

Articles