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Status epilepticus: recent experience at the Port of Spain General Hospital, Trinidad
West Indian med. j ; 41(1): 19-22, Mar. 1992.
Artículo en Inglés | LILACS | ID: lil-107512
RESUMO
In this retrospective study, experience in status epilepticus (SE) over an 18-month period at the Port-of-Spain General Hospital is reported. Sixty-three episodes in 41 patients were studied. Fifty-one per cent of patients were under 10 years of age. Fifty-one per cent of patients were classified as remote symptomatic, 29 per cent idiopathic, 15 per cent acute symptomatic and 5 per cent febrile. Bolus doses of diazepam were used in 62 of 63 episodes, phenytoin in 18, diazepam infusion in 9, paraldehyde in 12 and phenobarbitone in 9. Seizures were controlled within half-hour of starting treatment in 55 episodes (87 per cent). In 3 episodes in 2 patients (5 per cent), control was poor and exceeded 18 hours. No deaths were recorded. Two neurological deficits and 8 other morbid events were recorded. Mean hospital stay was 2.9 days. No patient was ventilated or admitted to the Intensive Care Unit. Current drug therapy is highly effective in SE even in institutions where modern intensive care technology is limited. Prognosis is excellent in patients whom the underlying aetiology is benign.
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Índice: LILACS (Américas) Asunto principal: Estado Epiléptico Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio pronóstico Idioma: Inglés Revista: West Indian med. j Asunto de la revista: Medicina Año: 1992 Tipo del documento: Artículo

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Índice: LILACS (Américas) Asunto principal: Estado Epiléptico Tipo de estudio: Estudio de etiología / Estudio observacional / Estudio pronóstico Idioma: Inglés Revista: West Indian med. j Asunto de la revista: Medicina Año: 1992 Tipo del documento: Artículo