Table of Contents
What is Ilae classification?
The 2017 ILAE Classification of the Epilepsies defined three diagnostic levels including seizure type, epilepsy type and epilepsy syndrome. Epilepsy syndromes have been recognized as distinct electroclinical entities long before the first ILAE Classification of Epilepsies and Epilepsy Syndromes was proposed in 1985.
What is a seizure Ilae?
An epileptic seizure is a transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain.
What is the classification of SE?
A new diagnostic classification system of SE is proposed, which will provide a framework for clinical diagnosis, investigation, and therapeutic approaches for each patient. There are four axes: (1) semiology; (2) etiology; (3) electroencephalography (EEG) correlates; and (4) age.
What is a use of classification of epilepsies?
As different seizure types have different medications specific for each type, this classification could help to identify a particular drug that is effective to a specific type of seizure. It also helps in identifying comorbidities and prognosis associated with a specific type of seizure [7].
What is the difference between tonic and clonic seizures?
Tonic and clonic seizures affect the muscles. Tonic seizures cause a stiffening of muscles while clonic seizures are characterized by jerking or twitching.
What is definition of status epilepticus?
A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus. This is a medical emergency that may lead to permanent brain damage or death.
What is Ncse medical term?
Nonconvulsive status epilepticus (NCSE) comprises a group of syndromes that display a great diversity regarding response to anticonvulsants ranging from virtually self-limiting variants to entirely refractory forms. Therefore, treatment on intensive care units (ICUs) is required only for a selection of cases.
How is Ncse diagnosed?
A distinct electroclinical evolution of prolonged seizure activity is the mainstay to diagnose NCSE correctly. If EEG is not available, a clinical improvement in close temporal relationship to acute anticonvulsant treatment is suggestive for NCSE but a missing response does not exclude the diagnosis.
When should I suspect Ncse?
Suspect NCSE in these patients: Patients who have a generalized tonic-clonic seizure and a prolonged postictal period (NCSE complicates 10-40% of convulsive status epilepticus)
What causes Ncse?
NCSE has diverse causes such as acute encephalopathy, cerebrovascular diseases (18–29% of hemorrhagic cases were reported to have caused NCSE), central nervous system (CNS) infection, brain tumor, traumatic brain injury, and postoperative complications 5.