Source:http://linkedlifedata.com/resource/pubmed/id/17292636
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2007-4-27
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pubmed:abstractText |
A retrospective case note study of the aetiology and course of children in convulsive status epilepticus (CSE) admitted to a large paediatric intensive care unit (PICU) was undertaken between January 1999 and April 2004. Status epilepticus was defined as a prolonged (>30 min) tonic-clonic seizure irrespective of whether the seizure had stopped prior to admission to PICU. During this period, 137 (74 male) children aged 1 month to 15 years were admitted to PICU with 147 episodes of status epilepticus. Forty-seven of the 137 children (34%) were admitted following a prolonged febrile seizure. Thirty-eight of the 137 children (28%) had a remote symptomatic cause for the CSE, 24 (18%) were admitted for an acute symptomatic cause and 15 (11%) were admitted with an acute exacerbation of a pre-existing idiopathic/cryptogenic epilepsy. Six children had a progressive encephalopathy and no cause was identified in the remaining 7 of the 137 children (5%). Forty-nine (36%) of the 137 children had pre-existing epilepsy. The mean duration of CSE was 44 min. Forty-nine (36%) children admitted to PICU who had received a benzodiazepine with either phenobarbital or phenytoin, required further treatment to terminate the presenting episode of CSE. Forty-two of these 49 were treated with thiopentone anaesthesia and the remaining 7 with a continuous infusion of midazolam, successfully terminating status in all. No child died. Of the 70 children considered to be previously neurologically and developmentally normal prior to admission, only 1 child demonstrated a new gross neurological abnormality at the time of latest follow-up. Seven patients (5%) developed new or de novo epilepsy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
1059-1311
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
305-12
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pubmed:meshHeading |
pubmed-meshheading:17292636-Adolescent,
pubmed-meshheading:17292636-Anticonvulsants,
pubmed-meshheading:17292636-Child,
pubmed-meshheading:17292636-Child, Preschool,
pubmed-meshheading:17292636-Female,
pubmed-meshheading:17292636-Humans,
pubmed-meshheading:17292636-Infant,
pubmed-meshheading:17292636-Infant, Newborn,
pubmed-meshheading:17292636-Intensive Care Units, Pediatric,
pubmed-meshheading:17292636-Male,
pubmed-meshheading:17292636-Patient Admission,
pubmed-meshheading:17292636-Retrospective Studies,
pubmed-meshheading:17292636-Status Epilepticus,
pubmed-meshheading:17292636-Treatment Outcome
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pubmed:year |
2007
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pubmed:articleTitle |
Aetiology, course and outcome of children admitted to paediatric intensive care with convulsive status epilepticus: a retrospective 5-year review.
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pubmed:affiliation |
The Roald Dahl EEG Unit, Department of Neurology, Eaton Road, L12 2AP Liverpool, United Kingdom.
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pubmed:publicationType |
Journal Article
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