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. 2017;55(Suppl 4):S369-S374.

[Experience of status epilepticus in the Neurology department of a tertiary-level hospital in Mexico]

[Article in Spanish]
Julián Alberto Hernández-Domínguez  1 , Gretel Cano-Salazar, Alejandra Calderón-Vallejo, Carlos Fredy Cuevas-García
Affiliations
  • PMID: 29792660
Free article

[Experience of status epilepticus in the Neurology department of a tertiary-level hospital in Mexico]

[Article in Spanish]
Julián Alberto Hernández-Domínguez et al. Rev Med Inst Mex Seguro Soc. 2017.
Free article

Abstract
in English, Spanish

Background: The status epilepticus is a neurological emergency that continues to be little identified early in emergency rooms and hospitalized patients, with significant morbidity and mortality. The aim of this paper was to establish the etiology and evolution of the status epilepticus in hospitalized patients in a tertiary-level hospital.

Methodology: Descriptive, cross-analytical study of adult patients hospitalized with the diagnosis of epileptic status at a tertiary-level hospital, between August 2010 and February 2016.

Results: 19 patients, mean age 35 years ± 19. With 15 years of convulsive epileptic status, 13 subjects with generalized seizures, 4 with alert alterations and 2 with focal seizures. In 4 cases, structural damage was detected, 4 due to non-specific inflammation, 2 due to Neuroinfection, 2 with anoxoischemic encephalopathy and 3 cases without evident etiology; of the 17 survivors, 10 with Rankin Scale modified from 4-5 points.

Conclusions: The status epilepticus is a common diagnosis in third level centers, with significant morbi mortality. After a complete study protocol, the etiological diagnosis is reached in most cases.

Introducción: El estado epiléptico es una emergencia neurológica que continúa siendo poco identificada de manera temprana en salas de urgencias y pacientes hospitalizados, con significativa morbilidad y mortalidad. El objetivo de este trabajo fue establecer la etiología y evolución del estado epiléptico en los pacientes hospitalizados en la UMAE.

Métodos: Estudio descriptivo, transversal-analítico, de pacientes adultos que fueron hospitalizados con diagnóstico de estado epiléptico en el Hospital de Especialidades del Centro Médico Nacional Siglo XXI entre agosto del 2010 a febrero del 2016.

Resultados: 19 pacientes, con edad media de 35 años ± 19. 15 años con estado epiléptico convulsivo, 13 sujetos con convulsiones generalizadas, 4 con alteraciones de alerta y 2 con convulsión focales. En 4 casos se detectó daño estructural, 4 por inflamación no específica, 2 por neuroinfección, 2 con encefalopatía anoxoisquémica y 3 casos sin etiología evidente; de los 17 sobrevivientes, 10 con escala de Rankin modificado de 4-5 puntos.

Conclusiones: El estado epiléptico es un diagnóstico común en centros de tercer nivel, con significativa morbimortalidad. Tras un protocolo de estudio completo se llega al diagnóstico etiológico en la mayoría de los casos.

Keywords: Seizures; Epilepsy; Etiology; Status Epilepticus.

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