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An audit of the predictors of outcome in status epilepticus from a resource-poor country: a comparison with developed countries Volume 18, issue 2, June 2016

TEST YOURSELF

(1) After what period of time without control has status epilepticus been shown to cause long-term consequences?

A. 10 minutes

B. 15 minutes

C. 20 minutes

D. 30 minutes

 

(2) The most common aetiology of status epilepticus in the present study was:

A. Acute symptomatic

B. Remote symptomatic

C. Progressive symptomatic

D. Idiopathic

 

(3) Regarding the management of non-convulsive status epilepticus, aggressive burst suppression on EEG is associated with better short and long-term outcomes. True or false?

 

 

 

 

 

 

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Answers

(1) D. Status epilepticus can have long-term consequences including neuronal death, neuronal injury, and alteration of neuronal networks if it lasts for more than 30 minutes.


(2) B. In the present study, remote symptomatic aetiology accounted for the majority of cases, but morbidity and mortality were noted to be higher in acute symptomatic SE compared to patients with remote symptomatic aetiology.


(3) False. There is no evidence that aggressive burst suppression on EEG correlates with control of seizures, in terms of either short or long-term outcome. Conversely, aggressive burst suppression may adversely affect outcome due to prolongation of mechanical ventilation, causing hypotension and other medical complications.

 

 

 

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