Nonconvulsive Status Epilepticus

Nonconvulsive Status Epilepticus

Author: Frank W. Drislane, MD

Publisher: Demos Medical Publishing

Published: 2008-11-05

Total Pages: 317

ISBN-13: 1934559601

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The only comprehensive source of information on this frequently misdiagnosed problem, with information critical for physicians, ER and ICU doctors, and psychiatrists. An under-recognized condition that can potentially cause brain damage and even death, nonconvulsive status epilepticus (NCSE) is an important clinical problem, occurring in about 25% of status epilepsy cases. Despite this prevalence, Nonconvulsive Status Epilepticus is the first comprehensive clinical text to cover its diagnosis and management. The book progresses logically, beginning with chapters discussing the history and classification of NCSE, reflecting a contemporary understanding of developmental, syndromic, and clinical aspects. Following chapters discuss relevant epidemiology, electrophysiology, imaging and pathophysiology of NCSE, with supplementary sections devoted to psychiatric and behavioral aspects of NCSE and to the different diagnostic considerations of its frequently unusual behavioral presentations. Highlights include: An emphasis on diagnosis, management, and all pertinent clinical issues A heavily illustrated section on EEG interpretation in NCSE Contributions by the foremost international experts on NCSE Throughout, the book maintains a practical focus on recognizing the key signs and symptoms of this subtly presented and clinically challenging condition. This multidisciplinary volume will provide physicians, ER and ICU doctors, and psychiatrists with a comprehensive source of information and opinion on nonconvulsive status epilepticus.


How to Read an EEG

How to Read an EEG

Author: Neville M. Jadeja

Publisher: Cambridge University Press

Published: 2021-07-15

Total Pages: 273

ISBN-13: 1108911161

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The EEG is a simple and widely available neurophysiological test that, if interpreted correctly, can provide valuable insight into the functioning of the brain. However, despite its increasing usage in a range of settings, there is a common misconception that the EEG is inherently difficult to interpret. Compounding the problem is the lack of dedicated training and no standardized approach by encephalographers. This book provides a clear and concise guide to reading and interpreting EEGs in a systematic way. Presented in three sections, the first delivers foundational technical knowledge of how EEGs work, and the second concentrates on a comprehensive, stepwise approach to reading and interpreting an EEG. The third section contains examples of EEGs in common scenarios, such as seizures and post-cardiac arrest, enabling readers to correlate their findings to clinical indications. Heavily illustrated with over 200 example EEGs, this is an essential pocket guide to interpreting these tests.


Status Epilepticus

Status Epilepticus

Author: Frank W. Drislane

Publisher: Springer Science & Business Media

Published: 2007-10-28

Total Pages: 368

ISBN-13: 1592599451

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A panel of senior clinicians critically reviews the many forms of status epilepticus (SE), their causes, manifestations, methods of diagnosis, and appropriate treatments. The emphasis is on the disease as encountered by the clinician in the field and the importance of correct recognition and diagnosis. The authors provide for each form of SE the underlying genetic, biological, and developmental background, the pathophysiological processes, as well as the precipitating factors that lead to an episode. For the difficult problem of diagnosing nonconvulsive SE, they offer detailed syndrome classifications, differential diagnoses, descriptions of seizure "imitators," notes on unusual behavioral and cognitive manifestations, and carefully delineated clinical presentations. Additional highlights include striking EEG reproductions that provide classic examples of patients in SE, SE in very young children and neonates, and an analysis of the cellular physiology and processes occurring during SE.


ICU Protocols

ICU Protocols

Author: Rajesh Chawla

Publisher: Springer Nature

Published: 2019-12-31

Total Pages: 613

ISBN-13: 9811508984

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The second edition of this highly successful book includes up-to-date notes on the step-wise management of clinical emergencies encountered in everyday intensive care units (ICU). Each thoroughly revised chapter provides concise information for point-of-care treatment, making it a practical guide clinicians can refer to on a daily basis at work or while traveling, or just to expand their knowledge. Volume 1 of ICU Protocols covers topics in pulmonology, cardiology, neurology, gastroenterology, nephrology and infectious diseases. The endocrine and metobolic systems, oncology, trauma, toxicology, envenomation and thermodysregulation, obstetrics, and perioperative care are covered in the second volume of ICU Protocols. This two-volume book is a must-read for intensivists, critical care specialists, junior trainees and residents working in ICUs. It is also relevant as course material for workshops on critical care, and essential for all hospital-based libraries. “This book provides junior trainees with an introduction to the management of problems common to the critical care unit.” David J Dries, Doody’s Book Reviews, March, 2013, for the first edition of ICU Protocols.


The Causes of Epilepsy

The Causes of Epilepsy

Author: Simon Shorvon

Publisher: Cambridge University Press

Published: 2019-05-02

Total Pages: 1013

ISBN-13: 1108420753

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Expanded and revised, this unique book provides concise descriptions of the many causes of epilepsy, for use in clinical practice.


Status Epilepticus

Status Epilepticus

Author: Simon Shorvon

Publisher: Cambridge University Press

Published: 1994-07-21

Total Pages: 402

ISBN-13: 0521420652

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An invaluable reference work comprehensively reviewing current knowledge and treatment of Status Epilepticus.


Status Epilepticus

Status Epilepticus

Author: Claude G. Wasterlain

Publisher: MIT Press

Published: 2006

Total Pages: 653

ISBN-13: 0262232456

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A comprehensive review of recent advances in the most severe form of epilepsy, focusing on two areas in which progress has been most rapid: basic mechanisms and treatment. Interest in status epilepticus--the most extreme form of epilepsy, involving continuous seizures--has surged in the last 20 years. Since 1979 there have been over 4,000 publications on the subject, including more than 1,700 in the last five years. No other text provides such a comprehensive review of the recent advances in the field of status epilepticus. The book focuses on the two areas in which progress has been most rapid: basic mechanisms and treatment. There is now a greater understanding of the mechanisms and complications of status epilepticus at the molecular level, which should eventually lead to improved therapy, and treatment strategies today have a greater sense of urgency because of the realization that neuronal apoptosis and necrosis can be triggered very quickly. After an overview of history, classification, and epidemiology, the contributors consider clinical phenomenology, biological markers, pathophysiology, brain damage, epileptogenesis, therapeutic principles, pharmacology, and therapeutic management. Their contributions are equally divided between studies of basic mechanisms in animal models and clinical studies, so that the reader can turn easily from the reductionist experiment that isolates a small component of status to the complex clinical situation in which these principles can translate into therapeutic action. The goal is to provide a scientific rationale for clinical decisions while developing therapeutic attitudes that are firmly grounded in pathophysiology.


Refractory Status Epilepticus

Refractory Status Epilepticus

Author: Xuefeng Wang

Publisher: Springer

Published: 2017-09-05

Total Pages: 340

ISBN-13: 9811051259

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This book aims to offer the accumulated fertile experience of treating drug-resistant epileptic patients collected over the past few decades, focusing on aspects of neurology, neurosurgery, emergency care, critical care medicine and basic medical research. Refractory status epilepticus is one of the most common severe and acute diseases in neurology and neurocritical care; it is also the main cause of death in epileptic patients. In the context of prevention and treatment processes, it is not only necessary to terminate epileptic seizures, but to also address the disruption of the patient’s internal environment and provide critical life support. Effective treatment calls for multi-disciplinary support from neurology, neurosurgery, emergency care, critical care medicine, and other fields. Further, since the clinical features of epileptic seizure are not specific, it is necessary to differentiate it from other diseases that produce convulsions, disorders of consciousness, syncope, mental and behavioral disorders, myoclonus, etc., to avoid misdiagnosis. In this book, it comprehensively and systematically describes the basic knowledge as well as prevention and treatment tips, providing an invaluable reference resource for medical students and professionals in neurology, neurosurgery, emergency care and critical care medicine.


Continuous EEG Monitoring

Continuous EEG Monitoring

Author: Aatif M. Husain

Publisher: Springer

Published: 2017-01-04

Total Pages: 660

ISBN-13: 3319312308

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This book is designed to meet the need for a practically oriented textbook on the rapidly growing field of continuous EEG (cEEG) monitoring. A wide range of key clinical aspects are addressed, with explanation of status epilepticus classification, criteria for institution of monitoring, seizure patterns and their recognition, quantitative EEG analysis, and neuroimaging in patients undergoing cEEG monitoring. The value of cEEG and the nature of cEEG findings in various special situations are then reviewed, covering particular pathologies, critical care considerations, and prognostication. Treatments of nonconvulsive status epilepticus (NCSE) and nonconvulsive seizures (NCS) are discussed. The concluding section is devoted to important administrative issues including billing, staffing issues, comparison of EEG machines, and information technology (IT) issues.Continuous EEG monitoring offers the only reliable means of detecting seizures that are not clinically obvious in critically ill patients. Such seizures are common: approximately 20% of patients undergoing cEEG monitoring in hospital have NCSE or NCS. Against this background, many hospitals have started to offer cEEG monitoring as a basis for delivery of appropriate treatment. By presenting the state of the art in cEEG monitoring, this book will be invaluable to practitioners including neurophysiologists, neurologists, neurointensivists, intensivists, neurophysiology and epilepsy fellows, and neurology residents.


Neurohospitalist Medicine

Neurohospitalist Medicine

Author: S. Andrew Josephson

Publisher: Cambridge University Press

Published: 2011-09-29

Total Pages: 247

ISBN-13: 1139501828

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Over the past decade, the hospitalist model has become a dominant system for the delivery of inpatient care. Forces such as national mandates to improve safety and quality, and intense pressure to safely reduce length of hospital stays, are now exerting pressure on neurologists. To meet these challenges, a new neurohospitalist model is emerging. This is the first authoritative text to detail the advances and strategies for treating neurologic disease in a hospital setting. It includes chapters on specific acute neurologic diseases including stroke, epilepsy, neuromuscular disease and traumatic brain injury and also addresses common reasons for neurologic consultation in the hospital including encephalopathy, electrolyte disturbances and neurologic complications of pregnancy. Ethical and structural issues commonly encountered in neurologic inpatients are also addressed. This will be a key resource for any clinician or trainee caring for neurologic patients in the hospital including practising neurologists, internists and trainees across multiple subspecialities.