Main Page
CV
Personal Data
Current Post
Certificates and Qualifications
Additional Training
Courses in training
Administrative Duties
Academic Responsibilities
Publications
(presentaions (international
(Presentations (national
Academic Activities
Significant Conferences Attended
Public Lectures
Educational Materials
Professional Organizations
Awards
Contact Information
Research
Files
Favorite Links
عربي
English
About
Admission
Academic
Research and Innovations
University Life
E-Services
Search
Jumana Yousuf Al-Aama
Document Details
Document Type
:
Article In Journal
Document Title
:
Status Epilepticus: Can the Incidence be Reduced
هل يمكن خفض معدل الإصابة بالتشنجات المتواصلة؟
Subject
:
Genetic Diseases
Document Language
:
English
Abstract
:
Objectives: To identify high risk groups for the development of convulsive status epilepticus (CSE) in an attempt to decrease the incidence and to determine both the time to access to medical care and the use of prehospital treatment in an attempt to reduce the duration of seizing. Methods: Retrospective study record analysis of all cases of CSE in children, at the King Abdul-Aziz University Hospital, Jeddah, Kingdom of Saudi Arabia from June 1997 to June 2000. Results: During the study period there were 24 cases of CSE. The major etiologic factors were chronic neurological disorders, idiopathic epilepsy, and acute cerebral insults. All but one of the chronic epileptics in the study group had at least one identifiable risk factor for the evolution of breakthrough seizures into status epilepticus (SE). Mortality was 12.5% and chronic neuro-behavioral morbidity in previously normal children was 17%. The average total duration of seizing was 2.3 hours, with an average of 52 minutes prior to arrival in the hospital. Prehospital rectal diazepam was administered by the family in only 2 instances, and in both cases the patients were overdosed. Conclusion: The identification of risk factors for CSE can serve 2 purposes: Focus targeted patient and family education, and a checklist for emergency room personnel to recognize those presenting with breakthrough seizures who are susceptible to SE, aiding in management decision making. The incidence of SE can be reduced by abbreviating the duration of breakthrough seizures. This can be achieved both by more widespread yet proper use of rectal diazepam at home, and by auditing the process of patient or family education.
ISSN
:
0306-4522
Journal Name
:
Neurosciences
Volume
:
7
Issue Number
:
4
Publishing Year
:
1423 AH
2002 AD
Article Type
:
Article
Added Date
:
Tuesday, May 11, 2010
Researchers
Researcher Name (Arabic)
Researcher Name (English)
Researcher Type
Dr Grade
Email
جمانة يوسف الأعمى
AL-Aama, Jumana Y
Investigator
Doctorate
jalama@kau.edu.sa
علي شعبط
Shaabat, Ali
Investigator
Doctorate
Back To Researches Page