| REVIEW ARTICLE |
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| Year : 2017 | Volume
: 1
| Issue : 1 | Page : 20-24 |
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Non-Convulsive Status Epilepticus (NCSE) in ICU
Made Wiryana1, I Ketut Sinardja2, I Wayan Aryabiantara2, Tjokorda GdeAgung Senapathi2, I Made Gede Widnyana2, I Gusti Agung Gede Utara Hartawan2, Pontisomaya Parami2, Christopher Ryalino3, Adinda Putra Pradhana3
1 Professor, Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
2 Senior Lecturer, Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
3 Resident, Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Correspondence Address:
Christopher Ryalino
Ryalino, Resident of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Kesehatan Street No 1, Denpasar-Bali
Indonesia
 Source of Support: None, Conflict of Interest: None
DOI: 10.15562/bjoa.v1i1.5
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Epilepsy is a neurological disorder characterized by recurrent epileptic seizures. Non-convulsive status epilepticus (NCSE) is defined as a persistent change in mental status as opposed to the previous conditions, lasted at least 30 minutes long, associated with continuous spike wave epileptiform EEG changes. Clinical manifestation of NCSE can present as confusion, personality changes, psychosis, and coma. Indeed NCSE prognosis is dependent on the underlying etiology of persistent EEG changes. Preferred medication is focus on improving its fundamental pathological changes, such as metabolic disorders, infection, drugs toxicity, and immediate pharmacological treatment. Intravenous benzodiazepine is recommended as the first drug of choice for NCSE and early recognition of treatment response can help to establish the diagnosis. This patient has a good outcome which was influenced with short ictal period from the first episode upon arrival on reffered hospital, good initial response and management on emergency department, a conduct and thorough ICU monitoring, as well as the effective treatment response.
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