Convulsive status epilepticus (CSE)

Convulsive status epilepticus (CSE)

CSE is defined as convulsions that are associated with rhythmic jerking of the extremities and is associated with loss of consciousness (1,2).

Genralised convulsive status epilepticus (GCSE) is the most common manifestation of SE seen in the general population. It is considered to be a medical emergency with significant morbidity and mortality (3)

Characteristic features of GCSE include:

• generalized tonic - clonic activity of the extremities
• impaired mental status e.g. - coma, lethargy, confusion
• may demonstrate focal neurological impairments in the post ictal period e.g., Todd’s paralysis, (1)

Reference:

• (1) Brophy GM et al. Guidelines for the evaluation and management of status epilepticus. Neurocrit Care. 2012;17(1):3-23.
• (2) Shah AM, Vashi A, Jagoda A.Review article: Convulsive and non-convulsive status epilepticus: an emergency medicine perspective. Emerg Med Australas. 2009 Oct;21(5):352-66.
• (3) Shearer P, Riviello J.Generalized convulsive status epilepticus in adults and children: treatment guidelines and protocols. Emerg Med Clin North Am. 2011;29(1):51-64.
• (4) Manno EM. Status epilepticus. Current treatment stratergies. The Neurohospitalist  2011;1(1):23-31