Articolul precedent |
Articolul urmator |
303 1 |
Ultima descărcare din IBN: 2023-07-10 07:55 |
SM ISO690:2012 MUNTEANU, Cristina, CHIOSA, Vitalie, GROPPA, Stanislav. Statusul epileptic refractar și super-refractar – predictori etiologici. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 365. |
EXPORT metadate: Google Scholar Crossref CERIF DataCite Dublin Core |
Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | |||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | |||||
|
|||||
Pag. 365-365 | |||||
|
|||||
Descarcă PDF | |||||
Rezumat | |||||
Background. Status epilepticus (SE) is a medical emergency, associated with multiple complications, which can progress to refractory and super-refractory SE, the prevalence and clinical evaluation of which have received limited attention. Early recognition, correct treatment, improves the prognosis. Objective of the study. To determine the type of SE, clinical and etiological risk factors in the occurrence of refractory and super-refractory status epilepticus, aspects of therapeutic approach. Material and Methods. Retrospective study, in accordance with the clinical presentation, electroencephalographic, imaging suitable for identifying predictor aspects that would cause refractoriness. Data analyzed: age, SE type, electroencephalographic changes, etiology depending on the results of laboratory and neuroimaging investigations (brain CT and MRI) and the response to antiepileptic treatment. Results. Included 78 patients, mean age 42.2 ± 18.4 years. SE convulsive in 87.2% of cases, nonconvulsive in 12.8%. The convulsive type predominates in the elderly group, while in young the nonconvulsive form. Structural SE in 66% cases, dismetabolic 14.2%, anoxic 3.8% and drug non-adherence in 15.4% of cases. Etiologically, post-traumatic injuries, strokes, volume processes predominate, whereas in young neuroinfectious, autoimmune diseases, and these cases have proven refractory in 60% of cases. In 30% of patients, seizures control was achieved by administration of benzodiazepines, 59% required second-line drugs and 7.8% required anesthetics of which 1.5% developed super-refractory SE. Conclusion. The etiology of refractory SE appears to be similar to that of nonrefractory SE, but more likely associated with viral encephalitis and nonconvulsive form. Early suspicion, staged treatment, and treatment of the underlying etiology is the clue to success in refractory seizures contro |
|||||
Cuvinte-cheie status epilepticus, refractory status epilepticus, super-refractory, status epileptic, status epileptic refractar, super-refractar |
|||||
|