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Original ArticleOpen Access
Outcome of Status Epilepticus in Srinagarind Hospital
Tiamkao S 
,
Suko P ,
Mayurasakorn N ,
Epilepsy S
,
Suko P ,
Mayurasakorn N ,
Epilepsy S Status epilepticus (SE) is one of the common neurological emergencies in adults and for which morbidity and
mortality are high and associated with either inappropriate management or underlying diseases. Forty SE patients were
included (23 men; 17 women) between 18 and 86 years of age. Generalized convulsive status epilepticus (GCSE) was most
common (34 events, 85%) vs. non-convulsive status epilepticus (NCSE) (6 events, 15%). Nineteen patients (47.5%) had
previously diagnosed neurological disorders. Antiepileptic drug withdrawal, encephalitis and alcohol-related illness were the
common causes of SE. Thirteen patients (32.5%) developed refractory status epilepticus. Improper management was found
in 23 events (57.5%). Outcomes of SE included death (14, 35%), complete recovery (14, 35%) and partial recovery (12,
30%). Of the patients who experienced improper management 43.5% died over against the 23.5% who died despite proper
management. To improve the outcome of SE, a public information campaign on the management of SE is needed.
Keywords: Status epilepticus, Outcome, Proper management
mortality are high and associated with either inappropriate management or underlying diseases. Forty SE patients were
included (23 men; 17 women) between 18 and 86 years of age. Generalized convulsive status epilepticus (GCSE) was most
common (34 events, 85%) vs. non-convulsive status epilepticus (NCSE) (6 events, 15%). Nineteen patients (47.5%) had
previously diagnosed neurological disorders. Antiepileptic drug withdrawal, encephalitis and alcohol-related illness were the
common causes of SE. Thirteen patients (32.5%) developed refractory status epilepticus. Improper management was found
in 23 events (57.5%). Outcomes of SE included death (14, 35%), complete recovery (14, 35%) and partial recovery (12,
30%). Of the patients who experienced improper management 43.5% died over against the 23.5% who died despite proper
management. To improve the outcome of SE, a public information campaign on the management of SE is needed.
Keywords: Status epilepticus, Outcome, Proper management
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